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RELEASE, INDEMNIFICATION, HOLD HARMLESS WAIVER and RELEASE AGREEMENT

Event Name: 2024 Alabama Crappie & Catfish Trip

Date: April 11-15, 2024

In consideration of participating in hunting, fishing, and other outdoor related activities, and for other good and valuable consideration, I hereby agree to release and discharge from liability arising from negligence Missouri Disabled Sportsmen and its owners, directors, officers, employees, agents, volunteers, participants, land owners, and all other persons or entities acting for them (hereinafter collectively referred to as “Releasees”), on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows:

1.      I acknowledge that hunting, fishing, and other outdoor related activities involve known and unanticipated risks which could result in physical or emotional injury, paralysis or permanent disability, death, and property damage. Risks include, but are not limited to, death or serious injury as a result of being shot or as a result of equipment malfunction; hearing loss; loss of vision; broken bones; bruises and other bodily injuries caused by falls; medical conditions resulting from physical activity, and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment, without jeopardizing the essential qualities of the activity.

2.      I expressly accept and assume all of the risk inherent in this activity or that might have been caused by the negligence of the Releasees. My participation in this activity is purely voluntary and I elect to participate despite the risks. In addition, if at any time I believe the event conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue participation.

3.      I herby voluntarily release, forever discharge, and agree to indemnify and hold harmless Releasees from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or facilities, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Releasees or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. 

4.      I represent that I have adequate insurance to cover any injury or damage I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or damage myself. I further represent that I have no medical or physical condition which should interfere with my safety in this activity, or else I am willing to assume and bear the costs of – all risks that may be created, directly or indirectly, by any such condition.

5.      In the event that I file a lawsuit, I agree to do so solely in the state where Releasees’ facility is located, and I further agree that the substantive law of that state shall apply.

6.      I agree to fully and completely comply with all federal and state regulations pursuant to the activity I am participating in.

7.      I agree to allow Releasees the right to use my likeness and or pictures from this event for any and all future marketing, in perpetuity and without any form of compensation.

By signing this document, I agree that if I am hurt or my property is damaged during my participation in this activity, then I may be found by the court of law to have waived my rights to maintain a lawsuit against the parties being released on the basis of any claim for negligence.

I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. Also, I understand that this activity might not be made available to me or that the cost to engage in activity would be significantly greater if I were to choose not to sign this release, and agree that the opportunity to participate at the stated cost in return for the execution of this release is a reasonable bargain. I have read and understood this document and I agree to be bound by its terms. 

Today's Date: April 21, 2024  




First Participants Name

First Name*

Last Name*

Phone*
First Participants Date of Birth*
First Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
First Participants Signature*
Second Participants Name

First Name*

Last Name*

Phone*
Second Participants Date of Birth*
Second Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Third Participants Name

First Name*

Last Name*

Phone*
Third Participants Date of Birth*
Third Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Fourth Participants Name

First Name*

Last Name*

Phone*
Fourth Participants Date of Birth*
Fourth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Fifth Participants Name

First Name*

Last Name*

Phone*
Fifth Participants Date of Birth*
Fifth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Sixth Participants Name

First Name*

Last Name*

Phone*
Sixth Participants Date of Birth*
Sixth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Seventh Participants Name

First Name*

Last Name*

Phone*
Seventh Participants Date of Birth*
Seventh Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Eighth Participants Name

First Name*

Last Name*

Phone*
Eighth Participants Date of Birth*
Eighth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Ninth Participants Name

First Name*

Last Name*

Phone*
Ninth Participants Date of Birth*
Ninth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Tenth Participants Name

First Name*

Last Name*

Phone*
Tenth Participants Date of Birth*
Tenth Participants Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Parent or Guardian Email Address

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

First Name*

Last Name*

Emergency Contact's Phone Number*
Participants 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:*

In consideration of being permitted to particpate in this activity, I futher agree to indemnify and hold harmless Releasees from any claim alleging negligence which are brought by or on behalf of minor or are in any way connected with such particpation by minor. 



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 Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian Date of Birth*
Parent or Guardian Information

Mobility Impaired Participants: Please describe your mobility impairment and any adapitive equipment needs you have in detail. Enter "N/A" if this does not apply to you. *
Parent or Guardian 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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