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Fieldstone Farms HOA

Amenities Waiver

I hereby acknowledge that I have read, understand, and agree to all Fieldstone Farms’ rules and regulations (the “Policies”) pertaining to the amenities of Fieldstone Farms, including but not limited to the clubhouse, swimming pools, fitness center, tennis courts, playgrounds, walking trails, and other common area amenities. I understand that it is my responsibility to inform and educate my family members, guests, and renters (if applicable) of the Policies. I understand that as a homeowner, I am responsible for any and all damages caused by myself and my family members, guests, or renters for breach of the Policies or for damage to the amenities. I further understand that my right to use the amenities may be revoked should: (a) I have any past due balance owed to the Fieldstone Farms Homeowners Association, Inc. (the “HOA”), or (b) I, my family, guests, and/or renters fail to follow the Policies as determined in the HOA Board or their designee’s sole discretion. I understand that should I, as a homeowner, choose to grant amenities access to my tenants, I revoke the right to access the amenities personally. I acknowledge and have explained to my family, my renters, and guests that use of the pool after-hours is strictly prohibited.

This waiver is governed by the laws of the state of Tennessee. I am aware and acknowledge that swimming, other pool activities, and the use of other amenities carry inherent risks, including but not limited to death, personal injury, bodily harm, infection, contagious diseases, including COVID 19, and property damage. The use of the amenities by myself, my family members, renters, and my or my renter’s guests, including minors, is made with the voluntary assumption, acknowledgment, and acceptance of any and all such risks. I hereby forever release and covenant not-to-sue the HOA, its members, owners, officers, volunteers, employees, representatives, and agents from any and all present and future claims resulting from ordinary negligence on the part of the HOA or others listed for property damage, personal injury, or wrongful death, arising as a result of myself, my family members, renters, and my or my renter’s guests, including minors, engaging in use of the amenities or receiving instruction in activities in the amenities or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims both present and future resulting from ordinary negligence that may be made by me and my spouse, family, estate, heirs, executors, administrators, personal representatives, attorneys-in-fact, or assigns, and I relinquish on behalf of myself, spouse, family, estate, heirs, executors, administrators, personal representatives, attorneys-in-fact, and assigns the right to recover for injury or death. I agree to indemnify, defend, and hold harmless the HOA, its members, directors, officers, volunteers, employees, representatives, and agents from and against any and all demands, claims, damages to persons or property, loss, and liabilities, including reasonable attorney’s fees, costs, and expenses, arising from the use of the amenities and any acts, omissions, negligence, or willful misconduct therein by myself, any member of my family, my renter(s), and/or my or my renter’s guest(s), including minors.

By signing this waiver, I expressly declare that I am of legal age, that I am fully informed of and understand the risks inherit to using the amenities and common areas, that I am aware of and understand the full contents of this waiver, and that I am legally accountable for any effects of this waiver. 


March 29, 2025

Resident Type
Resident Type:*
Homeowner listed on the HOA Account
Non-owner resident* (Adult Child, Partner not on Deed, Live In Relative, etc.)
Tenant renting the home*

*If you are not a homeowner listed on the deed, the homeowner will need to submit their own waiver listing you as an authorized resident below. Your access request will not be processed until this is received.

Purpose of Request
I am requesting Brivo Amenities Access for:*
MYSELF
MYSELF and OTHERS
OTHERS only
My current access is not working
First Your Name

First Name*

Last Name*

Phone*
First Your Age Acknowledgment*
First Your Date of Birth*
I certify that I am 18 years of age or older
First Your Address

Address in Fieldstone Farms *
First Your Signature*
Second Your Name

First Name*

Last Name*
Second Your Date of Birth*
Second Your Address

Address in Fieldstone Farms *
Third Your Name

First Name*

Last Name*
Third Your Date of Birth*
Third Your Address

Address in Fieldstone Farms *
Fourth Your Name

First Name*

Last Name*
Fourth Your Date of Birth*
Fourth Your Address

Address in Fieldstone Farms *
Fifth Your Name

First Name*

Last Name*
Fifth Your Date of Birth*
Fifth Your Address

Address in Fieldstone Farms *
Sixth Your Name

First Name*

Last Name*
Sixth Your Date of Birth*
Sixth Your Address

Address in Fieldstone Farms *
Seventh Your Name

First Name*

Last Name*
Seventh Your Date of Birth*
Seventh Your Address

Address in Fieldstone Farms *
Eighth Your Name

First Name*

Last Name*
Eighth Your Date of Birth*
Eighth Your Address

Address in Fieldstone Farms *
Ninth Your Name

First Name*

Last Name*
Ninth Your Date of Birth*
Ninth Your Address

Address in Fieldstone Farms *
Tenth Your Name

First Name*

Last Name*
Tenth Your Date of Birth*
Tenth Your Address

Address in Fieldstone Farms *
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Add Minors (13+). No minors to add? Skip this section.
  • Minors listed here will be granted Brivo Mobile Pass to access the age appropriate amenities.
  • Listed below are the names of my family members, who live with me, whom I hereby authorize to use the amenities and for whom I have provided the above releases, waivers, and indemnities.
  • By adding a minor below you guarantee you are the parent or legal guardian.
  • By adding a minor below you guarantee they are at least 13 years of age and authorized to access the pools without adult supervision.
  • By adding a minor over 16 below you understand they will have Fitness Center access without supervision along with pool access.
  • Children under the age of 13 must be with an adult 18 or older at all times when using the amenities. See rules for more details.
  • If you decline to allow your child access, they must be accompanied by an adult age 18 or older.
  • Each user must have a unique email address. Do not duplicate email addresses.



Minor 1: NAME, EMAIL

Minor 1: Birthdate

Minor 2: NAME, EMAIL

Minor 2: Birthdate

Minor 3: NAME, EMAIL

Minor 3: Birthdate

Minor 4: NAME, EMAIL

Minor 4: Birthdate
Add Authorized Household Members (18+). Not a homeowner? Skip this section.
  • Please list any permanent residents in your household that are authorized to have Brivo Access under your account (Adult Children, Partners not on the HOA Account, Live-In Relatives etc.).
  • Listed below are the names of my household members, who live with me, whom I hereby authorize to use the amenities and for whom I have provided the above releases, waivers, and indemnities.
  • Those who are not permanent residents can accompany you as a guest (see guest policies).
  • By adding a name and email address below, you confirm that individual permanently lives in your household, is over the age of 18 and authorized to have Brivo Access to the amenities.
  • The individuals below must fill out their own waiver and will not receive a Brivo Pass until they do. Please forward them the link to expedite.
  • Each user must have a unique email address. Do not duplicate email addresses.

Authorized Resident 1: NAME, EMAIL

Authorized Resident 2: NAME, EMAIL

Authorized Resident 3: NAME, EMAIL

Authorized Resident 4: NAME, EMAIL
FOR LANDLORDS: Add Tenants (18+). No tenants? Skip this section.
  • Property Managers may not fill out this form. Please forward to the homeowner for review.
  • Listed below are the names of my tenants, whom I hereby authorize to use the amenities and for whom I have provided the above releases, waivers, and indemnities.
  • Tenants will add their own minors - no need to include them here.
  • Please forward the link to your tenants to complete a waiver to expedite. They will not receive a Brivo Mobile Pass Access invitation until they complete it.
  • If you are a landlord adding tenants, you revoke your right to use the amenities personally for this property.
  • As of 2024, all email blasts will be sent via the management portal. Please note that from now on, you will need to forward any HOA communication you want to share to your tenants directly. 



Lease End Date

Tenant 1: NAME, EMAIL

Tenant 2: NAME, EMAIL

Tenant 3: NAME, EMAIL

Tenant 4: NAME, EMAIL
Next Steps:

Fieldstone Farms uses Brivo Mobile Pass App for access to the amenities.

  1. This waiver is your access request.
  2. Brivo Mobile Pass invitations are generated in order of receipt and during high volume times, can take up to 3 business days to arrive in your inbox. Check junk folder.
  3. Once the requirements for Brivo Pass Access are met, management will add you to the system.
  4. You will receive an automated email from "Brivo Mobile Pass". Please follow the instructions for setup, wach the tutorial, and create a username and password.
  5. Invitation emails not acted upon will expire in 7 days.

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above. I authorize children in my household age 13 and older to have Brivo Mobile Pass access, which allows them access to the pools without adult supervision. Children age 16 and older will have access to both the pools and the gym without adult supervision. I understand that all pools are "swim at your own risk".



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Address

Address in Fieldstone Farms *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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