HNH Waiver (generic, no post script)

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

Human Nature Hunting
Will you be bringing (or taking responsibility for) any children under the age of 18? Participants 18 and older must fill out their own waiver.*

YesNo
Enter FULL NAMES and DATES OF BIRTH of any minor(s) for whom you will be responsible. Please limit the number of children to approximately the number of adults who will be accompanying them. Or contact us about bringing a larger group.
1. 2.
In consideration of the minor child being permitted to participate in the Activity, I accept and agree to the full contents of this agreement. I also agree to RELEASE, HOLD HARMLESS, INDEMNIFY, AND DEFEND the Released Parties from all liabilities and claims that arise in any way from any injury, death, loss, or harm that occurs to the minor child during the Activity or in any way related to the Activity. This includes any claim of the minor and any claim arising from the negligence of the Released Parties. I understand that nothing in this agreement is intended to release claims for gross negligence, intentional, or reckless misconduct, or any other liabilities that Washington law does not permit to be excluded by agreement.
Participant's Full Name*
E-mail*
A copy will be emailed to this address. We will not share any personal information.
Phone Number*
We will not share your information.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Participant's Signature*

Clear
Today's date:*

MonthDayYear
(Optional) nickname and/or preferred pronouns
(Optional) Emergency Contact Name/Relation
(Optional) Emergency Contact Phone Number
(Optional) Anything else you'd like to share?
Emergency Contact Phone Number

Area CodePhone Number
Food will primarily consist of local/wild meats and vegetables. Please inform us of any allergies to food, medicine, bee stings, etc. Participants are responsible for their own medication (including EpiPens, etc.). --> (For Shellfish Participants) The DOH advises that all shellfish recreationally harvested during the warmer months, should be cooked thoroughly to avoid illness due to Vibriosis. Please read the Vibriosis Fact Sheet for more information. http://www.doh.wa.gov/CommunityandEnvironment/Shellfish/RecreationalShellfish/Illnesses/Vibriosis*

I understand
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RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT