The agreement required by 63.5(1) shall contain the following information:
RESPONSIBILITY AGREEMENT
I/We, the undersigned, being of 21 years of age or older, or born before September 2, 1967, and desiring to entertain ourselves and others at:
Area:________________________________
Date:________________________________
agree to leave the site used in the same condition as found, agree to clean up what debris and litter may be deposited during our stay, within the time period agreed to, agree to be responsible for any damages done to property within the area by ourselves or our guests, agree to ensure compliance with Iowa law respecting the possession of beer by underage persons, agree not to interfere with other use of park facilities, and finally, agree to abide by all rules and regulations and all laws of this state.
Dated this____day of____, 19_.
Signature of Group Leaders (agents):
______________________________________
______________________________________
Identification Information:
Agents Driver's Vehicle
(Name & Address)Phone No. License No. License
______________________________________
______________________________________
______________________________________
Iowa Admin. Code r. 571-63.7