Friday, August 22, 2014
Release Waiver
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GOLDEN EAGLE HUNTING CLUB, L.L.C.

TUCKER FARM HUNTING CLUB, L.L.C.

Adjacent Homsher Property

WAIVER OF LIABILITY FORM

 

 

 

Name (please print)                 __________________________________

 

Date of Birth                           __________________________________

 

Address                                   __________________________________

 

                                                __________________________________

 

Home Phone                           __________________________________

 

Emergency Phone                   __________________________________

 

 

I UNDERSTAND THAT hunting is an inherently dangerous activity and risks are involved in such activity.  I hereby waive and release all rights and claims for injury or damages incurred during participation in any activities at the Golden Eagle Hunting Club L.L.C., Tucker Farm Hunting Club L.L.C, and adjacent Homsher property and specifically I waive and release all rights and claims for injury or damages against Golden Eagle Hunting Club, L.L.C, Tucker Farm Hunting Club L.L.C. the Homsher’s, as well as the members, owners, managers and representatives of each. 

 

This release is also in effect for any guests (including children of all ages) who are present on these premises at my request or under my direction. 

 

This document is valid indefinitely.

 

 

                                                                                   

                                                            Signature:___________________________

 

                                                            Date:  ______________________________

 

 

 

Witness Signature:

                                                             ____________________________________

                                                                                   

                                                            Date:  _______________________________

 

 

 

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