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RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTIOIN OF RISK AND INDEMNITY AGREEMENT FOR MALLARD’S CROFT HUNTING AND SPORTING CLUB

Please read and be certain you understand the implications of signing.

The undersigned, hereinafter (“Participant”) does hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with hunting, shooting, and all activities associated therewith; the transportation of equipment and firearms used in said activities and traveling to and from the blinds or stands, and other sites I intend to use. Inherent hazards and risks include but are not limited to: 

1. Risk of injury from the activities of hunting and the use of firearms and other equipment is significant including the potential for injuries, permanent disability, disfigurement and death.

2. Possible failure and/or malfunction of my own or others equipment and/or firearms which may have been rented, borrowed, or personally owned.

3. Discharge of firearms, whether accidental, intentional, or caused by malfunction of the same.

4. Hunting and/or shooting is physical activity that exposes Participant to weather and other outdoor elements such as varied temperatures, wind, thunder and lighting, cold water and all other weather conditions.

5. Participant’s negligence and/or the negligence of all others, including employees, agents, independent contractors or representatives of Mallard’s Croft.

6. Possible injuries and illnesses sustained as a result of hot or cold weather including but not limited to frost bite, hypothermia, heat stroke, heat exhaustion and dehydration.

7. No medical facilities are located upon the premises and I am hunting and/or shooting in a rural area in which no medical facilities or emergency responders are readily available.

8. Could be attack by or have encounters with snakes, insects, or other wild animals.

9. Hunting and/or shooting in water or blinds located in water increase the chances of drowning, hypothermia and cold weather related illnesses.

10. Hunting and/or shooting requires participant to be in good physical and medical condition and persons with heart problems or other serious medical conditions/illnesses should not participate in hunting activities.

I understand that the description of these risks is not complete and that unknown or unanticipated risks may result in injury, permanent disability, disfigurement, illness or death. I accept said risks and elect to engage in hunting and/or shooting activities. I further certify that I have read and agree to abide by the “Mallard’s Croft Hunting and Sporting Club Rules” which are incorporated herein by reference.

In consideration for being permitted to participate in any hunt and/or shooting, including all related activities thereto, conducted by Mallard’s Croft upon the premises owned by Tom Green III Participant hereby acknowledges and agrees that:

I hereby release and hold harmless Tom Green III, Mallard’s Croft, its/their owners, agents, employees, officers, members, managers, representatives, independent contractors and volunteers (hereinafter collectively referred to as “Releases’”)for all claims I may have now or in the future in regards to any injuries resulting in disability, disfigurement, death or loss or damage to person or property, whether caused by negligence, actions, inactions, or otherwise while participating in the sport of hunting and/or shooting and all related activities. Furthermore, I agree to release Releases’, from any and all liability and responsibility whatsoever and from any claims or causes of action that I, my estate, heirs, survivors, executors or assigns may have at law or equity for personal injury, disfigurement, wrongful death or property damages arising from my engaging in hunting and/or shooting or the activities described herein it entirely and that I am not relying on any oral or written representations made by the Releases’. This document shall be binding to the fullest extent permitted by law and shall be governed by the laws of the State of Mississippi. If any provisions of this release if found to be unenforceable, the remaining terms shall remain enforceable.

I HAVE READ THIS RELEASE OF LIABLILTY AND ASSUMPTION OF RISK AGREEMENT AND I FULLY UNDERSTAND ITS TERMS. I FURTHER UNDERSTAND AND ACKNOWLEDGE THAT I HAVE WAIVED LEGAL RIGHTS BY SIGNING IT AND THAT I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

NOT RESPONSIBLE FOR LOST/LEFT ITEMS

Date: November 21, 2024

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
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Participant'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:*

FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent or Legal Guardian with legal responsibility for this participant, do hereby consent to the terms of this document on behalf of the minor participant and also on behalf of myself, my heirs, assigns, next of kin and all other parents or guardians of the minor and certify I have the legal authority to consent on behalf of the minor.

Signature of Parent or Adult Legal Guardian on behalf of Minor and my own Behalf, forever waiving all claims against Releases’ 



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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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