Castle Creek Outfitters
PARTICIPANT RELEASE OF LIABILITY – READ
BEFORE SIGNING
Please
right click on document, select print, fill out and mail along with a deposit
of $250.00. Balance due before or upon
arrival September 1st. Checks
accepted before, but not upon arrival.
Participant is guaranteed one active bait or
does not pay. Night bears count as an active bait.
Participant agrees to obey all
In
consideration of being allowed to participate in any way in the 2009 Castle
Creek Outfitters Black Bear program-related events and activities, I, __________________________________,
the undersigned, acknowledge, appreciate, and agree that:
1.
The risk of
injury from the activities involved in the program is significant, including
the potential for permanent paralysis and death, and while particular rules,
equipment, and personal discipline may reduce this risk, the risk, of serious
injury does exist; and,
2.
I knowingly and
freely assume all such risks, both known and unknown, even if arising from the
negligence of the Releasees (as hereafter defined) or
others, and assume full responsibility for my participation; and,
3.
I willingly agree
to comply with the stated and customary terms and conditions for
participation. If however I observe any
unusual significant hazard during my presence or participation, I will remove
myself from participation and bring such to the attention of the nearest
official immediately; and,
4.
I, for myself and
on the behalf of my heirs, assigns, person representatives, and next of kin,
hereby release, indemnify, and hold harmless Castle Creek Outfitters, their
officers, officials, agents and/or employees, other participants, sponsoring
agencies, sponsors, advertisers, spouse, heirs, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees”) with respect to any and all injury, disability,
death, or loss or damage to person or property, whether arising from negligence
of the Releasees or otherwise, to the fullest extent
permitted by law.
5.
Governing Law and
Jurisdiction. The laws of the state of
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.
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Drivers
License No.: |
MN
DNR Bear License No.: |
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Participant’s
Signature and Date: |
Officers
Signature and Date: |
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Participants
Printed Name: |
Officers
Printed Name: |
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Address: |
Emergency
Contact: |
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Phone
#: |
Age: |
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Comments
/ Things we should know: |
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