RELEASE AND WAIVER OF LIABILITY AGREEMENT

 

I,                                                                                               , acknowledge that I voluntarily have chosen to join KENNEBUNK FISH & GAME CLUB, INC.  I am aware that activities performed by members such as myself include using firearms at the shooting range.

 

I  AM  AWARE  THAT  THESE  ACTIVITIES  ARE  HAZARDOUS  ACTIVITIES  AND  THAT  I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES, WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. BY SIGNING  THIS  DOCUMENT,  I AM WAIVING ANY AND ALL LIABILITY  ACTIONS WHICH  I MIGHT  PURSUE AGAINST THE KENNEBUNK FISH & GAME CLUB, INC.  FOR  ANY  AND  ALL  BODILY  INJURY  OR  INJURIES, DEATH OR DEATHS, OR PROPERTY DAMAGE, INCLUDING  ANY AND ALL LIABILITY ACTIONS  ARISING  OUT  OF  NEGLIGENCE ON THE  PART  OF  THE KENNEBUNK FISH & GAME CLUB, INC., ITS AGENTS, OFFICERS, AND/OR MEMBERS.

 

I verify this statement by placing my initials here:                                

 

As consideration for being permitted by KENNEBUNK FISH & GAME CLUB, INC. to become a member and to participate in the aforementioned activities, I forever release KENNEBUNK FISH & GAME CLUB, INC., and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands  that I, my assignees, heirs, distributes, guardians, next of kin, spouse and  legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition  of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.

 

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT  BETWEEN ME AND THE KENNEBUNK FISH & GAME CLUB, INC. , AND I SIGN IT OF MY OWN FREE WILL. I also understand this release and waiver shall remain in effect while I am a member of the KENNEBUNK FISH & GAME CLUB, INC.

 

PARTICIPANT

 

Signature:                                                                                                                     

 

Print Name:_________________________________________________________

 

Signature of Spouse, if so involved with activities @ K F&G:_________________________

 

Print Name of Spouse:________________________________________________________

 See reverse side for dependent child coverage

RELEASE FOR DEPENDENT CHILDREN LIVING WITHIN HOUSEHOD OF PARTICIPANT:

 

NAME:_________________________AGE:_____

 

NAME:_________________________AGE:_____

 

NAME:_________________________AGE:_____

 

NAME:_________________________AGE:_____

 

I CERTIFY THAT I AM THE PARENT OF THE ABOVE LISTED DEPENDENT PERSON(S), WHO ARE
UNDER 22 YEARS OF AGE. I GIVE MY CONSENT FOR THE ABOVE NAMED PERSON(S) TO ENGAGE IN SHOOTING SPORTS AT THE CLUB AND AFFIRM AND ACCEPT THE ABOVE REFERENCED ASSUMPTION OF RISK AND RELEASE ON THE ABOVE NAMED PERSON’S BEHALF. I AGREE THAT I WILL INDEMNIFY THE KENNEBUNK FISH & GAME CLUB, INC.TO THE MAXIMUM EXTENT PERMIITED BY LAW FOR ALL DAMAGES, LOSSES AND INJURIES SUFFERED BY THE KENNEBUNK FISH & GAME CLUB, INC. DUE TO THE ABOVE NAMED PERSON’S CONDUCT WHILE ON CLUB PREMISES.

 

SIGNATURE:_______________________________________

 

PRINTED NAME:____________________________________

 

DATE:_____________________________________________