To the Board of Directors of Yost Lake Country Club: I do hereby submit a Cabin Rental

Request for the cabin owned by me located on the real property owned by the Yost Lake Country Club,

Inc., Payne County, Oklahoma. In the event approval, the renter(s) and I agree to abide by the

Constitution, rules and regulations of Yost Lake Country Club, Inc. The renter(s) and I irrevocably waive

all claims against said Club or any of its officers, directors or members for any act or acts in connection

with the cabin rental and/or business of the Club, and particularly as to acts in electing, or failure to elect,

advancing, suspending, expelling or otherwise disciplining the renter(s), the member, any member of my

family or any of my guests.

I agree to pay promptly upon billing fees, assessments, dues, fines or other charges related to this Cabin

Rental Request.

Member Responsibilities and Acknowledgments

I acknowledge and attest that:

1) the renter(s) will be provided a copy of the Yost Lake Country Club Rules;

2) the renter(s) are not allowed to have guests at Yost Lake Country Club; and

3) the renter(s) allowed on Yost Lake Country Club property are only those listed on the form

above and below.

The Member and the Renter(s) also agrees:

1. That any damage to buildings, equipment, or property owned by the Yost Lake Country Club, Inc., other than that due to ordinary wear and tear, will be charged to the Member. Any damage shall be immediately reported to a member of the Board of Directors.
2. To assume full responsibility for injury, damage, or loss from any cause whatsoever to the person or properties of others.
3. To comply with insurance requirements and safety and ground rules.

This agreement is entered into by the Yost Lake Country Club, Inc. contingent upon the above conditions and observance of insurance requirements, safety and ground rules. This agreement does not give the Member or Renter(s) the privilege of including any person(s) or guest(s) or group(s) other than indicated above and on the Cabin Rental Request form.