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Minor Indemnification

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

In the consideration for the above minor being permitted by Black Canyon Wing & Clay, LLC to participate in the activities of hunting and/or clay target shooting which include, without limitation, the use of its services, animals, equipment, I agree to the following waiver, release, and indemnification:

The undersigned parent, guardian, or custodian of the above minor, for himself/herself and on behalf of said minor, hereby joins in the foregoing Waiver and Release and hereby stipulates and agrees to save and hold harmless, indemnify, and forever defend Black Canyon Wing & Clay, LLC, their directors, officers, agents, employees and volunteers from and against any claims, liabilities (including reasonable attorneys’ fees), and NEGLIGENCE made or brought by said minor or by anyone on behalf of said minor, as a result of said minor’s participation in the activities of hunting and/or clay target shooting and his/her use of the property, animals, if any, and facilities of Black Canyon Wing & Clay, LLC. I, for myself and on behalf of said minor, further agree not to sue Black Canyon Wing & Clay, LLC as a result of any injury, paralysis or death that said minor suffers in connection with his/her 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 Minor's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Minor's Date of Birth*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and event information by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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.


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