Crivitz Bowhunter’s Club

Outdoor 3D Archery League Registration and Waiver/Release Form

Please use one entry form for each Archer

To register, you may do one of the following:

• Print and complete registration form and mail it along with a check to Lynn Brady, CBC Treasurer at N7632 Sandstone Lane, Crivitz, WI 54157. Make check payable to “Crivitz Bowhunters Club”.

• Or call the club’s cell phone at (715) 291-8666 to make a debit/credit card payment over-the-phone. An additional fee of $1.00 will be added to your payment to cover our credit/debit card processing fee.

• Alternatively, at CBC's range, place it in the red lock box located at the end of the picnic table in the Kwanza Hut, together with your check and score card.

Payment with registration and shoot waiver forms must be received before you are able to shoot in the League. If you DO NOT register and payment is not received, your score will not be counted for the week. NO EXCEPTIONS!

In consideration of being allowed to participate in the Crivitz Bowhunters Club 3D Warm Up League starting on August 9th, the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from archery and other known and unknown events and activities and/or the use of the related buildings, structures, equipment, automobiles, tree stands, roads, bodies of water, land and all other real and personal property whether owned by the archery range or others is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist, and

2. I acknowledge and agree that the use of archery equipment or any other items by myself or others on the premises or otherwise are inherently dangerous and high-risk activities whether such archery equipment are discharged or used in any way by myself or others, and

3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown. EVEN IFARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation, and,

4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately, and,

5. I, for myself and on behalf of my heirs, assign personal representatives and next of kin. HEREBY RELEASE AND HOLD HARMLESS Crivitz Bowhunter’s Club its officers, directors, officials, agents, employees, volunteers, members, guests, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of real property and personal property used to conduct the events and activities (“RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW.

6. This is to certify that I, as parent/guardian with legal responsibility for this participant(s), do consent and agree to his/her release as provided above of all the Releasees, and for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these events and activities and/or the use of related real and personal property as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.

7. I promise not to institute any charge, complaint, or lawsuit to challenge the validity of this Release or the circumstances surrounding its execution; in such case, the Crivitz Bowhunters Club (and its elected officials, board members, agents, volunteers and representatives) shall be entitled to recover all of their attorneys’ fees and expenses from me regardless of the result.

8. This consent form grants permission for the Crivitz Bowhunter’s Club to use my/child’s personal image (photo) and name in any form of media for promotional and any other lawful purposes. The Crivitz Bowhunter’s Club acknowledges that the images may be used on the Club’s website, Facebook, social media, flyers, publications, picture board, as well as distributed to members and that there will be NO payment for the use of the photographs, names or any other forms of media for promotional purposes. This consent releases the Crivitz Bowhunter’s Club from any infringement or violation of personal and/or property rights of any sort whatsoever based upon the use of your photo(s) and further acknowledges that the Crivitz Bowhunter’s Club is not obliged to use photographs.

9. This Agreement may be executed in counterparts, each of which when executed and delivered shall be an original and all of which shall together constitute one and the same Agreement. All faxed, emailed, PDF or electronic signatures affirming this Agreement constitute an original signature.

I have read this assumption of risk and waiver of liability agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.