Youth Hunter Education Challenge Registration

Participant Information

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgment  As Parent and/or Guardian of the named participant, I do hereby give my permission for my child to participate in the National Rifle Association's Youth Hunter Education Program and any/all practice sessions. 

Parental Authorization for emergency medical care  I hereby authorize you, in the event of an emergency, that is, when you are unable to reach me for authorization or when circumstances require immediate action, to proceed according to good medical practice with treatment of my daughter/son. Also, I authorize the hospital attending physician, or other healthcare specialist administering the treatment to release pertinent information to the insurance company assuming coverage for the same.  

Assumption of Risk, Waiver, and Release  In consideration of the allowed to participate in the NRA Youth Hunter Education program and the Jack O'Connor Hunting Heritage and Education Center, related events and activities, the undersigned appreciates, acknowledges, and agrees that:

1. There are risks of injury from participating in the activities involved in this program of events, including the potential of paralysis, disability, and even death. I knowingly and freely ASSUME ALL SUCH RISKS (known or unknown, present, future, direct, or consequential and whether physical, psychological, social, economic, or otherwise and including all treatment, hospitalization, or other care rendered to me in the event of my illness, injury, or emergent circumstances in the connection with my participation in the program of events) EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES of others, I assume full responsibility for my participation and all such risks. 

2. I willingly agree to comply with the stated and customary terms and conditions for participation in this program of events. If I observe any unusual significant hazard during my participation, I will remove myself from participation and immediately bring such to the attention of the nearest staff/official member. 

3. I, for myself, and behalf of my heirs, assigns, personal representative, and next of kin, HEREBY RELEASE AND HOLD HARMLESS the NRA Youth Hunter Education Challenge Program and the Jack O'Connor Hunting Heritage and Education Center, officers, committee National Governing Bodies, sponsors, advertiser, and if applicable, owners, lessors of premises used to conduct the program of events. ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, PARALYSIS, DISABILITY, OR DEATH, and all liabilities, losses, claims and causes of action (including attorney's fees) and any nature, incurred, suffered or associated with the participation in the program of events, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE. 

4. I hereby give my permission to the event organizers for the free use of my name, likeness and or pictures for use in broadcasts, telecast, newspaper, etc., for the promotion of the program of events. 

5. I will follow and abide by the rules, policies, and code of conduct of the NRA Youth Hunter Education Challenge Program and the Jack O'Connor Hunting Heritage and Education Center. I HAVE READ THIS ASSUMPTION OF RISK WAIVER AND RELEASE AGREEMENT, AND FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND SIGN IT VOLUNTARILY WITHOUT ANY INDUCEMENT. 

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

YHEC reserves the right to terminate any participant from the program for repeated lack of attendance, flagrant safety violations, and behavior or attitude problems. 

 

PARENTS ARE ALWAYS WELCOME AT ALL TRAINING SESSIONS

REGISTRATION FEE: $25.00 (Payable to the Jack O'Connor Center)

 

Mail check to:

Jack O'Connor Center 

P.O. Box 394

Lewiston, ID 83501