LIABILITY RELEASE FORM
15181 E. Loop 1604 San Antonio, TX
We release the owner RANDY HEINESH from any and all liability while staying at this house the dates of
____________________ to _______________________
All signatures are by all adults 18 years and older staying at this house during the dates stated above.
We agree that we are the parents or legal guardians of any minor children (those under 18). We know and agree that this
property has a pond. We also acknowledge that there is dock and that the water can be as deep as 6 feet off the edge of
If any ropes are attached to tree limbs for swinging out over the water, they were not put there by
the owner (If ropes are there, they were put there by the previous renter). These are not to be used.
We acknowledge there are life jackets on site, but if these do not fit properly or missing from the property we will be
responsible for getting life jackets that fit properly from the nearest store or from the local Wal-Mart in San Antonio, TX. All
other outside activities such as volleyball and basketball (or any activity) are also the responsibility of the below signed
adults and will make sure of the safety of minors.
PRINT NAME SIGNATURE DATE .