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8th Annual COASTAL CLAYS

TRAPPER e-WAIVER

Registration & Release

2025

 



Release of Liability

RELEASE FROM RESPONSIBILITY, WAIVER OF LIABILITY AND ASSUMPTION OF RISK FOR PARTICIPATION IN A DANGEROUS ACTIVITY.

FOR AND IN CONSIDERATION of permitting THE UNDERSIGNED to participate in shooting activities on Mullek Farms, Joe & Betty Mullek premises, and the Coastal Clay Sporting event for the purposes of firearms use, shooting firearms, observing the shooting of firearms, or any and all other purposes, THE UNDERSIGNED, for herself, himself, her/his heirs, executors, administrators and assigns:

Hereby voluntarily releases discharges, waives and relinquishes any and all actions for the personal injury, property damage or wrongful death occurring to the UNDERSIGNED arising as a result of engaging in or being present at the activities at the COASTAL CLAYS of Alabama, INC., Mullek Farms, Joe & Betty Mullek premises.

Acknowledges that the UNDERSIGNED has been fully and completely advised of the potential for serious accident incidental to engaging in firearm activities, and expressly agrees to assume all risks of loss, injury and property damage, and expressly agrees to assume all risks of loss, damage or injury that may be sustained by the UNDERSIGNED.

I, the undersigned do hereby release and discharge (1) Mullek Farms, Joe & Betty Mullek, Tim & Roberta Mullek “Coastal Clays of Alabama, INC.”, their officers, directors, employees, agents and appointees including associates, agents, invitees, employees and subcontractors, ("Indemnitees") and (2) companies subsidiary to, parent to, or affiliated with Indemnitees: (3) the executive personnel of all companies included in the foregoing (4) and insurers of any of them (hereinafter the group) against any and all claims that I may have as a result of my participation in the 8th Annual Coastal Clays anytime during the 2025 year. Furthermore, I hereby state that I am aware of the risks, hazards, and dangers associated with the Coastal Clays sponsored by the group. I understand that my participation in the 8th Annual Coastal Clays anytime during the 2025 year is conditioned upon my signing this Release.

I do hereby irrevocably authorize the Group, its successors and assigns and those acting under its permission authority to copyright, use and publish, for any art, advertising, trade or any other lawful purpose whatsover video reproductions or still photography reproductions of me in which I may appear in whole or in part in conjunction with my participation in the 8th Annual Coastal Clays anytime during the 2025 year. I do hereby waive any right that I may have to inspect or approve the finished product for the advertising that may be used in conjunction therewith or the use to which it may be applied. I hereby release and discharge the Group, its successors and assigns and all persons acting under its permissions and authority for any liability by virtue of the use of the video or still reproductions and waive any claim to payment or any other remuneration from any publication, sell or use thereof.

THE UNDERSIGNED HAS READ THE FOREGOING PARAGRAPHS AND VOLUNTARILY SIGNS THIS AGREEMENT BEING FULLY AWARE OF THE LEGAL CONSEQUENCES OF THE SIGNED INSTRUMENT WITHIN

I Agree

Coastal Clays PARENTAL/GUARDIAN COVID-19 CONSENT FORM AND LIABILITY WAIVER

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and as a result, social distancing is recommended. Coastal Clays will follow state and local standards of conduct and has put in place reasonable preventative measures to reduce the spread of COVID-19 at its 2025 Clay Shoot activities (including but not limited to the clay shoot and trapper training). However, even though such standards will be followed and reasonable measures put into place, Coastal Clays cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Coastal Clay activities could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and that my child(ren) and I may be exposed to or infected by COVID-19 by participating in the Coastal Clay activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Coastal Clay activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Coastal Clay volunteers, and program participants and their families. Considering the foregoing, however, I, grant permission for my child, to participate in the Coastal Clay activities at the clay shoot site, notwithstanding the risks associated with the COVID-19 virus and group activities. I further agree on behalf of myself, my child named herein, and my spouse, our heirs, successors, and assigns, to release, indemnify, and hold harmless Coastal Clays, their members, directors, officers, agents and representatives (“Indemnitees”) associated with the event arising from or in connection with the negligent acts or omissions of the Indemnitees ONLY in regard to prevention of the spread of the COVID-19 virus. I SPECIFICALLY ACKNOWLEDGE AND AGREE TO THE FOREGOING. 

Today's Date: February 5, 2025



Please fill in the following information for the 8th Annual Coastal Clays...
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First 8th Annual Coastal Clays Trappers Name

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First 8th Annual Coastal Clays Trappers Information

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Second 8th Annual Coastal Clays Trappers Name

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Second 8th Annual Coastal Clays Trappers Information

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Third 8th Annual Coastal Clays Trappers Name

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Third 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
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Fourth 8th Annual Coastal Clays Trappers Name

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Fourth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
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Fifth 8th Annual Coastal Clays Trappers Name

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Fifth 8th Annual Coastal Clays Trappers Date of Birth*
Fifth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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Sixth 8th Annual Coastal Clays Trappers Name

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Sixth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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Seventh 8th Annual Coastal Clays Trappers Name

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Seventh 8th Annual Coastal Clays Trappers Date of Birth*
Seventh 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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Eighth 8th Annual Coastal Clays Trappers Name

First Name*

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Eighth 8th Annual Coastal Clays Trappers Date of Birth*
Eighth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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Ninth 8th Annual Coastal Clays Trappers Name

First Name*

Middle Name

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Phone*
Ninth 8th Annual Coastal Clays Trappers Date of Birth*
Ninth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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Tenth 8th Annual Coastal Clays Trappers Name

First Name*

Middle Name

Last Name*

Phone*
Tenth 8th Annual Coastal Clays Trappers Date of Birth*
Tenth 8th Annual Coastal Clays Trappers Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
yes
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Check to receive information about future Coastal Clays Events.
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

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Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Trappers, If you wish to receive updates about future Coastal Clays events enter your email in box:
Trapper's - Are you signing up to fulfill Service Hour Requirements for St. Michael Catholic High School
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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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