Rest in Comfort in our Newly Renovated Rooms

Our 16-room motel building was completely renovated in 2018, to provide a comfortable place for you to stay that is just footsteps away from our beautiful beaches and full-service restaurant. You may choose from a king room or a standard room with 2 double beds. Parking is available right outside your front door. 
Motel overhead view

Welcome to Cedar Island's Rustic Resort & Motel


Located in beautiful Cedar Island, North Carolina, just 45 miles east of Morehead City, we are your first stop in the Outer Banks! We are located on the Pamlico Sound, which boasts breathtaking views, beautiful natural beaches with quartz sand, a full-service RV Park, motel, restaurant, sports bar, horse stables, and many more outdoor activities. We have a boat ramp on-site to launch your small boat, canoe, kayak, or jetski. Come enjoy the beauty of Cedar Island where you can simply relax in peaceful tranquility, or be as active as you would like on your vacation in the Outer Banks!

Fun Things To Do:

  • Take a horseback ride on the beach with one of our stable guides
  • Walk the beach and search for the herd of wild horses
  • Pamlico Sound offers world-class Red Drum fishing & some of the best fishing on the east coast
  • Take the on-site ferry to our neighboring Ocracoke Island in the Outer Banks
  • Rent canoes and kayaks on site from the rental office
  • Visit the playground, play volleyball or horseshoes in our campground
  • Boating available in both Pamlico Sound from the public boat ramp or Cedar Island Bay from our private boat ramp
  • Catch fish, oysters, clams, and crabs for dinner
  • Purchase fresh seafood locally from local vendors and fish houses for delicious meals
  • Visit Cape Lookout National Seashore and tour the lighthouse
  •  Duck hunting guides available through our rental office
  • Fishing Charter Guide services available through our rental office
  • Take a day trip to Beaufort for shopping and visit the Maritime Museum
  • Visit the Waterfowl Museum in Harker's Island, and learn about our Down East Heritage
  • Spend your day at our beautiful beach & forget about everything accept enjoying life. 
  • Take in our awesome sunrises and sunsets!
  • Take a walk and watch the otters and ducks play in the bay.

We have a friendly staff that is eager to serve you! Book your room now and come enjoy the beautiful panoramic views of the Pamlico Sound and Cedar Island Bay. Enjoy your stay!!


Cedar Island is home to a large herd of the famous Outer Banks wild Spanish horses. These horses roam throughout Cedar Island and 3 other islands and often roam in our pasture or right by the boat ramp for all to see. On your trip to Cedar Island's Rustic Resort, horseback riding on the beach is an absolute must-do bucket list item. Our horses are well trained, friendly, and love to take our guests throughout the beaches and crossing 1000 foot water channels searching for the wild horses. Rides are available year-round. You will never get tired of looking at these awesome sunrises and sunsets. Come and watch the otters and ducks play in the bay.

Our private boat ramp into Cedar Island Bay can handle most small boats and -some larger shallow draft boats depending on the tidal range. A deep draft -public boat ramp is also on-site into Pamlico Sound. We have a friendly staff that is eager to serve you. Never hesitate to ask for assistance. Book your room now and come enjoy the beautiful panoramic views of the Pamlico Sound and Cedar Island Bay. Enjoy your stay!!

Call now to schedule a time at 252-515-9441 or Book Online Now


Cedar Island Beach sunset

Resort Map

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Map of area

CEDAR ISLAND RESORT POLICIES

Cedar Island Resort Rules

1. Check-In: RV, Motel, and tent camper check-in is 3:00 Pm. Check out time is 11:00 AM.
2. Site Use: Camping is limited to self-contained RV’s, tents, and pop-ups. No RV maintenance is allowed on site. Our sites are intended for use by one family. This family is able to have one camping unit for up to 2 adults and up to 2 children. We are not able to accommodate extended families in additional tents or camping units on the same site. This type of occupancy would require an additional campsite.
3. Noise: From 11 pm to 7 am there shall be no loud or disruptive noise or loud music of any kind permitted in the park. Repeat violators will be fined or removed.
4. Automobiles: Only one RV and one vehicle shall be permitted per lot. No maintenance may be performed on the property for any reason.
5. Vehicles: Sorry but no skateboards, ATVs, or mini bikes are permitted on park grounds. We are unable to allow vehicle, boat, or RV washing on site.
6. Golf Carts: Golf carts may be used within the park property only but must stay on designated paths or roads. You are responsible for your golf cart regardless of who operates it at all times. All guest owned golf carts must register in the office and must have proof of liability insurance. All golf cart drivers must be a licensed driver. Absolutely no children drivers or driving during quiet hours.
7. Speed Limit: The speed limit within the resort is 5 MPH at all times.
8. Registration: All vehicles, tent campers, golf carts, visitors, and RVs must register at the Rental Office/Visitor Center before entering the park. All guests are subject to all park regulations.
9. Swimming: swimming is available on our beautiful beach from sun up until sundown at your own risk. There will be no lifeguards on duty at any time and you will swim at your own risk.
10. Garbage: Please keep your site clean from trash, cans, bottles, cigarette butts, and dog poop. Please help us keep the property & your site clean & tie all trash bags. A dumpster is available on site for Cedar Island Resort guests only. Anyone caught littering on the grounds may be fined $75.00.
11. Environment: Cedar Island Resort works hard to protect the environment and conserve energy. Please help us by conserving water, turning lights and AC off when not needed, not littering, and protecting our plants, animals, and pristine beaches.
12. Picnic Tables are generally taken by our monthly customers and there are limited quantities. Any picnic tables that are not in use at the time of your arrival are First come, first serve, and if one is available we can assist you in bringing one to your site.
13. Fires: Fires are permitted in our fire rings in designated areas. Fire rings must be positioned at the rear of your back-in campsite or if you have a pull-through campsite they are to be positioned on the pad in front of your camper as to least damage the grass. You must extinguish fires after use before you retire to protect the environment. Firewood is available to purchase at the Rental Office/Visitor Center during office hours. fire rings are generally taken by our monthly customers and there are limited quantities. Any fire rings that are not in use at the time of your arrival are First come, first serve, and if one is available we can assist you in bringing one to your site.
14. Bathhouse & Laundry – Bathhouse is for park guests only. Please keep doors closed at all times & help us keep them clean. Coin laundry facilities are located across the street at the end of the motel. Quarters are available at the visitor center if needed.
15. Maintaining your site: All construction within the park such as decks, storage units or other structures must be approved in advance by management. Clotheslines are not permitted. Hanging clothes or towels on fences, trees, bushes, etc. are not permitted. Please do not store anything under your Camper.
16. Storage: Boats, trailers, or other vehicles may not be stored at your campsite. Storage may be available if space is available by management. Please check with the Rental Office/Visitor Center for availability.
17. Power Outages: We may occasionally experience power outages including Wifi, water, electric, or other utilities outside of our control. No refunds will be given for any power outages.
18. Fireworks: Fireworks are not permitted anywhere on the property at any time.
19. Firearms or any deadly weapons: Weapons must be licensed and kept under lock and key by all guests at all times. Any weapon unlawfully brandished or any endangerment of any guest, staff member, or visitor on the property shall be subject to immediate expulsion with no refunds at any time by management.
20. All guests of Cedar Island Resort are considered transient and in no way is a reservation considered a lease. All guests are required and agree to leave on the date and time their reservation is up with absolutely no exceptions. Guests subject to expulsion agree to leave immediately with no exception.
PETS
• We are happy to launch our new fenced dog park that is now open. Park guests are welcome to use the dog park at any time during their stay. Please help us keep that area clean by cleaning up after your pet.
Outside of the dog park pets must be on a leash at all times. If your pet is tied up outside your RV, you must be outside with it.
• Pet owners must pick up after their pets. Failure to do so may result in being asked to leave the property. Please dispose of pet waste in the trash containers provided. NOT in THE BATHROOM TRASH CANS. Please help keep our park clean!
• Pets that bark incessantly (whether while left alone or with owners present) will prompt a request that the owners leave the property with no refund.
• We have designated pet-friendly motel rooms for a nightly fee/pet and all pets must be registered when you reserve your room in order to be booked in the proper room. Failure to disclose bringing a pet into a motel room will result in an immediate $100.00 cleaning fee with no questions asked. Any damages caused by pets will also be billed to your account and you will be sent a list of charges.
• Pets are not allowed inside any common area buildings or in bathrooms or showers. (Licensed service dogs allowed).
• Management reserves the right to refuse entry of pets or pet breeds having a history of aggressive behavior.

BUILDINGS/RESTROOMS
• Smoking is prohibited in all buildings
• Smoking in any motel room will result in a $250.00 fumigation fee. No questions asked.
• Please dispose of cigarette butts in appropriate containers, not on roads or grass. Thanks!
• We are proud of our restrooms and other activity areas. Please leave them as clean, or cleaner, than when you used them. Inform management if you observe any problem or if they are in need of cleaning.

*Violation of any of the rules of the RV park, motel or anyone disrupting the peace or pleasure of other guests will be subject to fines up to $100 or removal from the property. Persons Removed from the property will receive a prorated refund based on the posted daily rate. For example, a monthly customer who pays $1000 and was removed from the property after 7 days would receive a $300 refund if the daily rate was $100.00.

Reservations made for daily stays must be canceled at least 24 hours prior to scheduled check-in or 100% of your reservation will be charged. Weekly reservations must cancel 3 days prior to scheduled check-in or 25% of your reservation will be charged. Monthly & annual reservations must cancel 14 days prior to scheduled check-in or 15% of your reservation will be charged.
Cancellations made with the required notice will receive a full refund less a $10 cancellation fee. You may change the date of your reservation (with required notice) one time with no fee if booked the same calendar year. All reservations made during a holiday week must cancel within 7 days of their reservation to receive a refund. Cancellations made inside of 7 days will be billed the entire amount of their stay. No exceptions.

NO SHOWS WILL BE CHARGED THE FULL AMOUNT OF THE RESERVATION.
ALL CANCELLATIONS MUST BE made by (PHONE OR EMAIL) ciresortsales@gmail.com
or 252-515-0201

ARRIVAL TIMES
3:00 PM - 6:00 PM
If arriving outside of check-in times, please call to make arrangements.

AUTO-COLLECT
A 25 percent deposit is collected at the time of purchase. Payment for gift certificates is collected at the time of purchase.

CHILDREN & PETS
Children are welcome with an accompanying adult. Pets are welcome. We are a pet friendly resort. There are no additional fees for pets with the exception of the motel where we have a $15/pet/night fee. Please bring a copy of your pet’s vaccination records, keep them leashed at all times and do not leave them unattended unless properly secured in your room. Motel guests are responsible to pay for any and all damage to the room from your pets. Proper curbing and cleaning up after your pets is also required. Don’t forget about the pet friendly beach, available to all camping guests.

CREDIT CARD SECURITY
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HORSEBACK BEACH BEACH RIDING POLICIES
Horseback Riding Rules: All riders must be at least 8 years old and be able to control the horse for the hour-long beach ride. All riders must be at least 10 years old and be able to control the horse for the 90 minute beach ride. Any child under 10 years old is subject to being lead-lined by the guide horse. If the guide determines that your child is not capable of controlling their horse they will convert the rider to a tandem saddle with a parent. Tandem saddles are available for children over 5 years old and up with a parent for a fee with a max combined weight limit of 250 pounds. Our weight limit for riders is 250 pounds. This limit is enforced for the safety of our horses. We do have a scale and you will be weighed if the guide is concerned your weight is over the limit. If you book a ride and are over the weight limit you will not be permitted to ride and will be charged the full amount of your ride because we have turned down someone else who could have ridden. Wearing closed-toed shoes and shorts or long pants are recommended. Bring suntan lotion and bug spray and apply before your ride. Leave valuables in your car that you may drop or lose along your ride (sunglasses, wallet, etc.) Helmets are available but are not required (optional) Riders with any physical, mental, or emotional concerns should let us know prior to booking a ride so the issues can be addressed and accommodations can be made. Know that you may get dirty on the ride. On our 90 minute rides we generally cross over water and you could get wet. A change of shoes or clothes is recommended for your comfort. Know we reserve the right to cancel rides due to high winds, heavy rain, excessively hot weather or unforeseen circumstances, but we will ride in light rain. *Please show up at least 15 minutes early at the barn or the Visitor Center to check-in. To get to the barn you will turn East from NC 12 on to Driftwood Drive. From there you go straight in to the campground through a set of metal gates and go straight to the back of the campground. You will see a big red barn to your left. Park in front of the barn and walk through the break in the gate to the left of the barn. Your horses will be saddling up straight ahead from their. Every rider must complete a waiver before the ride leaves the barn. Any rider under the age of 18 must have a waiver signed by the child's parent or guardian. Waivers will be sent to you & you may sign & fill it out ahead of time by printing it off. If you cannot print it we will provide them at your arrival as well. Reservation Policies At a minimum, we hold reservation spots with credit card information and we request a 25% deposit, or you may pay for the entire ride via credit card when you book. You may also pay in cash when checking in for your convenience. We accept Visa, Mastercard, American Express, and Discover. We recommend making your reservations several days in advance to secure a spot before it is fully booked. Same-day bookings occasionally may be available, but the earlier you book, the better the availability will be.* What do we do if it looks like rain? WEATHER – If we have to cancel your ride due to weather and we have not completed more than 75% of your ride, we will reschedule your activity, or provide you with a raincheck that is good for 12 months. Rides that have done over 75% of the trip will be considered a full ride. Please call before your ride if you need a weather update at 252-515-9441. It often does not rain on Cedar Island when it is raining elsewhere due to the large bodies of water on both sides. If it is a mild rain or sprinkling, we will ride. WE DO NOT RIDE IF IT IS THUNDERING OR LIGHTNING FOR EVERYONE'S SAFETY INCLUDING THE HORSES. How do cancellations work? CANCELLATIONS – For cancellations made more than 24 hours in advance there is a $10 admin fee charged to your account. If you cancel less than 24 hours before the ride, we will charge you a cancellation fee of the full amount of all horse rides you have booked. If you reschedule & complete your ride within 30 days you can do so for a $100.00 fee for the replacement ride. We often have a waiting list for rides & must charge for no shows or late cancellations. Our guides also spend a great deal of time preparing for each ride prior to your arrival. **Rain checks are vouchers valid for 12 months, allowing you to reschedule your missed ride for a future date. You may also gift your ride to another person. There are no refunds after a ride is paid for. We strive to provide a safe and family-oriented place where people can enjoy the love of their animal. We encourage people to spend time not only with their horses but with others here at the stable. Book a Ride now by calling 252-515-9441! Other Stable Programs and Events: Private rides are offered for a fee. If you would like to schedule a private ride where you can run or canter with the horses or are just looking for a special event with your family or friends you can make your ride exclusive with just you and your guide. Because our rides generally sell out to make a ride private requires the following fees: Friday-Sunday 60 minute private ride fees are $120.00 and Friday-Sunday 90 minute private ride fees are $200.00. Monday-Thursday 60 minute private ride fees are $70.00 and Monday-Thursday 90 minute private ride fees are $100.00. Private rides are offered year round by appointment. Call 252-515-9441 for further details. Weddings are now offered at Cedar Island Resort & you can have your venue right on the beach. Incorporate a horseback ride with your bridal party or have the bride or groom arrive on horseback to the ceremony. We are now offering the opportunity to bring your own horses for a phenomenal private tour through the islands and beaches while searching for the wild Spanish horses. Outdoor boarding is available for your horses on a short term basis. Call 252-515-9441 or email us at obxridingstables@gmail.com for more details. Do you have a special event? Let us turn your ride into something special with a fire ring and champagne waiting for you on the beach for an engagement, wedding, or anniversary. Call 252-515-9441 for details. Barn Rules & Policies Safety First – Safe, considerate, and courteous behavior of everyone is required. Your safety, the safety of others, and the safety of the horses is our primary goal. If you see actions occurring that are not safe, report it immediately to barn management. UNSAFE BEHAVIOR WILL NOT BE TOLERATED & MAY CAUSE YOUR REMOVAL FROM THE RIDE WITH NO REFUND). All guests are asked to use caution when approaching horses. They are animals and can be unpredictable. Under no circumstances may you or anyone in your party enter a barn stall. Children – At all times, children under the age of 14 must be under the direct supervision of a responsible adult. Children cannot be running, screaming, and climbing on gates around the barn. Be Kind to your Horse – Cedar Island Stables will not tolerate any type of abuse. Dogs – No dogs are allowed on stable property unless they're restrained on a leash. Do not leave a dog unattended anywhere on stable property. No Smoking – Smoking is NOT allowed in any part of the barn, stall areas, tack room, or any other enclosed or under roof area. We ask that you not smoke while on the property, but if you must, keep it to the front parking lot. Please dispose of cigarettes in a trash container when done. Helmets – Helmet usage is recommended but not required. Due to covid 19 we are not currently providing helmets, but You can bring your own if you would like. Absolutely no Alcohol or Illegal Drug Use – Use or under the influence of these substances while at the stable is grounds for immediate dismissal without a refund. Notify Us of Any Accidents, Injuries, or Damages – Please inform stable management if anyone or any horse is injured. Also please report any damage to stable property or equipment. Feeding Horses – Our horses are on a strict diet. Outside food is not permitted without the express permission of the barn manager or owners. Foul Language and Unruly Behavior – This is offensive and degrading to you and the people around you. Help make this a place enjoyed by everyone by having respect for yourself and others. If you continuously engage in inappropriate behavior, you will be asked to leave with no refund. ALWAYS BE SAFE AND ALWAYS HAVE FUN!

HORSEBACK RIDING WAIVER FORM
HORSEBACK RIDING WAIVER Cedar Island Stables or ETT Properties, LLC Release of Liability – Read Before Signing 1. In consideration of being permitted to participate in any way with Cedar Island Stables or ETT Properties, LLC, its related events, activities, furnishing of services and/or equipment to enable me to participate in Cedar Island Stables or ETT Properties, LLC, I the undersigned, understand, acknowledge, and agree that: 2. Horseback Riding, Trail Riding or guide related services involves inherent hazards, dangers, risks, and associated with the dynamic and unpredictable environment where horseback riding activities are held. Participants can be injured walking or climbing on or around the horse, getting on to or out of all of any horse, mounting stand or other any other areas around the horse facilities and at other times and locations. Sunburn, wind, rain, lightning, riding, running or being in the open for extended periods may be uncomfortable or cause injury. Certain insects, plants or animals may cause discomfort or injury. 3. I recognize that all hazards cannot be foreseen or controlled, and this is not an exclusive or exhaustive list of possible ways to get injured. Injuries may occur as a result of my negligence, the negligence of others, or through no fault of my own or anyone else, because of the nature of the activity. The risk of injury from Horseback Riding, Trail Riding or guide related services and any activity involving land and water may be significant, including the potential for injury or death. Cedar Island Stables or ETT Properties, LLC does not have control of all the risks involved; 4. Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, trail or river route location, and water level, risks of falling off of or drowning while crossing or entering bodies of water and such other risks, hazards and dangers that are integral to recreational activities and /or use of animals or equipment; 5. My participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death, or other ailments that could cause serious disability; 6. I assume full responsibility for my own actions and for my voluntary decision to participate. I knowingly, freely, and expressly assume all risks, both known and unknown, of injury or death or damage or loss of personal property, even as a result of my negligence; negligence of my family or the negligence of those persons released from liability below; 7. I will comply with all rules and regulations. If I have any questions or observe an unusual and unnecessary hazard during my participation. I will immediately bring such to the attention of the nearest official; 8. I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release indemnify, and hold harmless Cedar Island Stables or ETT Properties, LLC, the owners, lessors and lessees of premises used to conduct all activities, their directors, officers, officials, instructors, guides, volunteers, agents, and/or employees (“releasees”). WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property, whether or not caused by the releases; I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Outdoor Adventures are a physically demanding activity that comes with risks. In the event of an emergency, having the correct information and history on hand and being able to get it into the hands of health care providers quickly could be the difference between life and death. This information will be kept confidential. Emergency Contact: ____________________ Phone: _____________________ Relationship: ___________________ Emergency Contact: ____________________ Phone: _____________________ Relationship: ___________________ Emergency Contact: ____________________ Phone: _____________________ Relationship: ___________________ Please describe anything about your physical or emotional condition that could impact your ability to engage in a strenuous physical activity, or anything else that we should know to make your time in class a better learning experience: __________________________________________________________________________________________________ I affirm that my health is good and that the above information is accurate and complete. Signature: ___________________________ Printed Name: __________________________Date: _______________ Signature: ___________________________ Printed Name: __________________________Date: ________________ Signature: ___________________________ Printed Name: __________________________Date: ________________ Signature: ___________________________ Printed Name: __________________________Date: ________________ Signature: ___________________________ Printed Name: __________________________Date: ________________ Guardian Signature: ___________________________ Printed Name: __________________________ Date: ________________

CANOE & KAYAK WAIVER FORM
Cedar Island Rentals Release of Liability - Read Before Signing In consideration of being permitted to participate in any way with Cedar Island Rentals or ETT Properties, LLC, its related events, activities, furnishing of services and/or equipment to enable me to participate in Cedar Island Rentals or ETT Properties, LLC, I the undersigned, understand, acknowledge, and agree that: 1. Kayaking, canoeing, paddle boarding, or any motorized boat, being a part of any paddle related tour or motorized boat related tour involves inherent hazards, dangers, risks, and associated with the dynamic and unpredictable environment where paddle related or motorized boat related activities are held. Participants can be injured walking or climbing along the shore, getting into or out of all of the above paddling and motorized boating activities on the shore or on the water and at other times and locations. Sunburn, wind, rain, lightning, or being in the open for extended periods may be uncomfortable or cause injury. Certain insects, plants or animals may cause discomfort or injury. I recognize that all hazards cannot be foreseen or controlled and this is not an exclusive or exhaustive list of possible ways to get injured. Injuries may occur as a result of my negligence, the negligence of others, or through no fault of my own or anyone else, because of the nature of the activity. The risk of injury from Kayaking, canoeing, paddle boarding, or any motorized boat, being a part of any paddle related tour or motorized boat related tour and any activity involving water may be significant, including the potential for injury or death. Cedar Island Rentals or ETT Properties, LLC does not have control of all the risks involved; Risks and dangers may arise from foreseeable or unforeseeable causes including, but not limited to, guide decision making, including that a guide may misjudge terrain, weather, trail or river route location, and water level, risks of falling out of or drowning while Kayaking, canoeing, paddle boarding, or any motorized boat, being a part of any paddle related tour or motorized boat related tour and such other risks, hazards and dangers that are integral to recreational activities and /or use of equipment; 2. My participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death, or other ailments that could cause serious disability; 3. I assume full responsibility for my own actions and for my voluntary decision to participate. I knowingly, freely, and expressly assume all risks, both known and unknown, of injury or death or damage or loss of personal property, even as a result of my negligence; negligence of my family or the negligence of those persons released from liability below; 4. I will comply with all rules and regulations. If I have any questions or observe an unusual and unnecessary hazard during my participation. I will immediately bring such to the attention of the nearest official; 5. I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release indemnify, and hold harmless Cedar Island Rentals or ETT Properties, LLC, the owners, lessors and lessees of premises used to conduct all activities, their directors, officers, officials, instructors, guides, volunteers, agents, and/or employees (“releasees”). WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss or damage to person or property, whether or not caused by the releases; I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Signature: ________________________Printed Name: ___________________Date:________________ Signature: ________________________Printed Name: ___________________Date:________________ Guardian Signature: _____________________Minor Name: _____________________Date:__________ Guardian Signature: _____________________Minor Name: _____________________Date:__________