Loading...

Guest Waiver and Release Agreement


Please read carefully before signing. This is a release of liability and waiver of certain legal rights.

In my consideration for being permitted to participate in the activities of hunting and/or clay target shooting, I agree to the following waiver and release:
I acknowledge that hunting and/or clay target shooting has inherent risks, hazards, and dangers for anyone that cannot be eliminated, particularly in a wilderness environment.

I UNDERSTAND THAT THESE RISKS, HAZARDS, INCLUDE WITHOUT LIMITATION:
1. The risk of handling firearms and being near others that have firearms in their possession.
2. The risk of ear damage from noise.
3. The risk of injury from ammunition, clay targets and shot from other guns.
4. Walking in rugged country, including encounters with wildlife, animals and insects.
5. Inclement weather conditions.


I agree to pay for any injury sustained by a dog during a guided hunt due to my negligence. Payment shall be in the form of either veterinarian bills associated with returning said dog to health so that the dog is able to hunt again, or if that is not possible, a fee of $10,000.


For eye and ear protection, we recommend ear plugs and protective eye glasses. If you do not use them, you are doing so at your own choice.

I understand the risks, hazards, and dangers described above and have the opportunity to discuss them with a Black Canyon Wing & Clay staff member.

I understand that these activities may require good physical conditioning and the degree of skill and knowledge necessary for me to engage in these activities safely.

I understand that I have responsibilities. My participation in these activities is purely voluntary. No one is forcing me to participate and I elect to participate in spite of the risks. I AM VOLUNTARILY USING THE SERVICES OF BLACK CANYON WING & CLAY WITH FULL KNOWLEDGE OF THE INHERRENT RISKS, HAZARDS, AND DANGERS INVOLVED, AND HEREBY ASSUME AND ACCEPT ANY AND ALL RISKS OF INJURY, PARALYSIS, OR DEATH.

Lastly, I for myself, my heirs, successors, executors, and subrogees, hereby KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS BLACK CANYON WING AND CLAY, their directors, officers, agents, employees and volunteers from and against any and all claims, actions, causes of action, liabilities, suits, expenses, (including reasonable attorneys’ fees), which are related to, rise out of, or are in any way connected with my participation with this activity included, but not limited to, NEGLIGENCE of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, paralysis, or death to me or my property as a result of my engaging in these activities or use of these services, animals or equipment, whether such damage, loss, injury, paralysis and death results from negligence of a Black Canyon Wing & Clay employee or from some other cause. I, for myself, my heirs, my successors, executors, and subrogees, further agree not to sue Black Canyon Wing & Clay as a result of any injury, paralysis or death suffered in connection with my use and participation in the activities of hunting and/or clay target shooting.

I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN THIS WAIVER AND RELEASE AGREEMENT.

 

REMINDER
Morning hunts 8:00 am-11:30am Afternoon hunts 1:00pm-4:30pm

 

First Guest's Name

First Name*

Last Name*

Phone*
First Guest's Age Acknowledgment*
First Guest's Date of Birth*
I certify that I am 18 years of age or older
First Guest's Signature*
Second Guest's Name

First Name*

Last Name*
Second Guest's Date of Birth*
Third Guest's Name

First Name*

Last Name*
Third Guest's Date of Birth*
Fourth Guest's Name

First Name*

Last Name*
Fourth Guest's Date of Birth*
Fifth Guest's Name

First Name*

Last Name*
Fifth Guest's Date of Birth*
Sixth Guest's Name

First Name*

Last Name*
Sixth Guest's Date of Birth*
Seventh Guest's Name

First Name*

Last Name*
Seventh Guest's Date of Birth*
Eighth Guest's Name

First Name*

Last Name*
Eighth Guest's Date of Birth*
Ninth Guest's Name

First Name*

Last Name*
Ninth Guest's Date of Birth*
Tenth Guest's Name

First Name*

Last Name*
Tenth Guest's Date of Birth*
Guest's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and event information by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Guest of

Click to customize text box label
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.


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 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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!