I sent lucky1777 a copy of this release form. I think it should work.
Name__________________________________________________
Address________________________________________________
City/State/Zip___________________________________________
Email__________________________________________________
Phone______________________________
Internet nickname (optional)_______________________________
Emergency contact: _____________________________ Phone:_______________________
List any medical conditions/allergies ______________________________________________________________________
I, ___________________________________ by my signature below, release and discharge the landowner(s), landowner heirs, leasee, manufacturers, or any other parties connected with the hunt, herein referred to as "Releasees", of all law suits, actions and demands whatsoever, for all claims, accidents, loses, or injuries that may occur while participating in the hunt. I understand that the entry fee is non-refundable.
I hereby agree to indemnify and hold harmless the Releasees (YOUR NAME HERE) and their insurance carrier, and each of them from any loss, liability, damage or cost they may incur arising out of or related to the hunt(s) whether caused by the negligence of the Releasees or otherwise.
I will abide by the rules established by (YOUR NAME HERE) and property owners/caretakers.
Date: ____________________
Signature: _________________________
Printed Name: _____________________________
