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ACKNOWLEDGEMENT OF RISK AND WAIVER OF LIABILITY

Valid for the 2023-2024 Waterfowl Season

In consideration of the services of High Plains Wingshooters, their officers, agents, employees, and stockholders, and al] other persons or entities associated with those businesses (hereinafter collectively referred to as "HPW"), I agree as follows:

Although HPW has taken reasonable steps to provide you with appropriate equipment and skilled guides so you can enjoy an activity for which you may not be skilled, we wish to remind you this activity is not without certain inherent risk. Certain inherent risks cannot be eliminated without destroying the unique character of this activity. The same elements that contribute to the unique character of this activity can be causes of loss or damage to your equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death. We do not want to frighten you or reduce your enthusiasm for this activity, but we do think it is important for you to know in advance what to expect and to be informed of the inherent risks. The following describes some, but not all, of those inherent risks:

1. Water hazards in boating and wading in the rivers including drowning:

2- Accidental shooting by self or other participants;

3. Hiking in rugged terrain;

4. Injuries from equipment failure, flat tires, brake failure, rope breakage;

5. Encounters with wildlife, animals, hunting dogs, livestock and insects;

6- Temperature extremes;

7. Inclement weather conditions and unavailability of immediate medical attention in the wilderness in case of injury.

I am aware that the activities I am participation in at HPW entail risks of injury or death to myself. I understand the above-referenced description of these risks is not complete and that other unknown or unanticipated risks may result in injury or death. I agree to assume responsibility for the risks identified herein and those risks not specifically identified. I understand that these activities may require good physical conditioning and a degree of skill and knowledge. I believe I have that 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 inherent risks associated with these activities.

I certify that I am fully capable of participating in these activities. Therefore, I assume full responsibility for myself, including my minor children, for bodily injury, death, and loss of personal property and expenses thereof as a result of those inherent risks and dangers and of my negligence in participating in the activity.

I have read, understood and accepted the terms and conditions stated herein and in addition to the limitations of liability contained in Wyoming State Statutes, including but not limited to, W.S. 1-1-121 et.seq., I knowingly and intentionally waive and release, indemnify and hold harmless HPW against any and all claims, actions, causes of action, liabilities, suits, expenses (including reasonable attorneys' fees) which are related to , arise out of, or are in any way connected with my participation in this activity, 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 the use of these services, animals or equipment. I, for myself, my heirs, my successors, executors, and subrogees, further agree not to sue the lodge as a result of nay injury, paralysis, or death suffered in connection with my use and participation in the activities of HPW. I acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including any minors accompanying me.

I understand that it is my responsibility to obtain all state and federal licensing needed and will follow all Wyoming Game and Fish Department rules and regulations.

 

Today's Date: October 8, 2024

First Participant's Name

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

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Second Participant's Date of Birth*
Third Participant's Name

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Third Participant's Date of Birth*
Fourth Participant's Name

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Fourth Participant's Date of Birth*
Fifth Participant's Name

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Fifth Participant's Date of Birth*
Sixth Participant's Name

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Sixth Participant's Date of Birth*
Seventh Participant's Name

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Seventh Participant's Date of Birth*
Eighth Participant's Name

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Eighth Participant's Date of Birth*
Ninth Participant's Name

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Ninth Participant's Date of Birth*
Tenth Participant's Name

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Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

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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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