Please note that signing of the waiver does not complete the membership process. The membership process is completed on your first trip to Hillside Campgrounds for the 2019 Season by showing a Photo ID that proves you are at least 21 years old, paying your membership fee and receiving a membership card.


Hillside Campgrounds

2019 Waiver


Hillside Campgrounds – 948 Creek Road, New Milford, PA  18834
2019 Season Waiver and Membership Application 

I certify that I am at least 21  years of age and I assume sole responsibility for the safety of my person and property while I am at Hillside Campgrounds located at 948 Creek Road, New Milford, Susquehanna County, PA 18834.

I acknowledge that I am entering a campground with limited improvements and I am here for the express purpose of enjoying the rustic outdoor environment.

I understand that the paths and roadways are unpaved and that the swimming pool is shallow and unattended by a lifeguard or other personnel and there are no security guards.

I acknowledge by signing this 2019 Waiver and Membership Application, that I am waiving my rights to hold the owners and operators of the Hillside Campgrounds liable for any injuries which I may sustain either as the result of my own action or non-action or by engaging in any activity with other persons who may be at the campgrounds.

I waive any claim at law or equity which might arise and I bind my heirs, executors, or administrators to this agreement. I further agree to save harmless and to reimburse the owners and operators of the Hillside Campgrounds from any suit (or judgement which may result from said suit) caused by my own actions.

I understand pictures of people and events are taken and posted on the website, and may be utilized in informational or marketing brochures.

I agree to follow all camp rules whether stated in writing or given verbally by an authorized representative of the Hillside Campgrounds and agree to review printed rules carefully and follow them. Printed rules are always available in the Campground Office, posted on signs around the campground and can be viewed online at https://hillside.camp/rules

Name:
Home Address:
City:  State:   Country:  Zipcode:

Date of Birth:

Primary Phone:   ()
Secondary Phone:   ()

Emergency Contact Name:
Emergency Contact Phone Number(s):
Does your emergency contact know that you are at a gay clothing optional campground?:

———————————— This section is for Seasonal Members Only – “Perms” —–
Perms – Site Name: 
PermsPreferred Phone Number while in camp:   ()
Perms – Can we publish your information in a list for distribution to other Perms?

———————————— This section is for Seasonal Members Only – “Perms” —–

This 2019 Waiver and Membership Application shall remain in effect from the date of signature, , until May 1, 2020.

The email address used in this document is only used to send you a copy of the signed and sealed electronic document.  Your email address provided is not used, or not added to, any email marketing lists at Hillside Campgrounds unless you have already signed up for the Campground Newsletter with the same email address.

Leave this empty:

Hillside Campgrounds https://hillside.camp
Signature Certificate
Document name: 2019 Waiver
Unique Document ID: 9e8d88907027ad5479cf51debfc3538890b3da9a
Timestamp Audit
February 26, 2018 5:55 pm EDT2019 Waiver Uploaded by Hillside Campgrounds - waivers@hillside.camp IP 50.225.24.242
May 3, 2018 10:06 pm EDT Document owner info@hillside.camp has handed over this document to waivers@hillside.camp 2018-05-03 22:06:43 - 72.35.227.234