I agree to abide by the Articles and By-Laws of the Dusky Hunting Retriever Club and the rules and regulations of the HRC (Hunting Retriever Club, Inc.). I also agree to give the Dusky HRC permission to put my name and/or photo on the Dusky HRC Website.
____ Yes ____ No
WHEREAS, the undersigned desires to release certain parties from any damages that may arise, directly or indirectly, as the result of his/her participation in activities offered by the Dusky Hunting Retriever Club, Inc., fully realizing the inherent danger in any type of sporting event of this nature.
NOW, THEREFORE, in consideration of being allowed to participate in said activities, the undersigned does hereby release and forever discharge the Dusky Hunting Retriever Club, Inc., its officers, directors members, participants, spectators, and all land owners whose land they may be utilizing, from any and all manner or actions, claims and demands whatsoever, in law or in equity, which may arise now or in the future as a result of, or pertaining to, the undersigned’s participation in any of its activities.
IN WITNESS WHEREOF, I have hereunto affixed my hand the date and year written below:
Dated and signed this _______ day of __________________, 20_____
Name Printed ___________________________________________________________
Signed ________________________________________________________________
Please print and fill out release form. You may send this with your $30 payment to:
(make checks payable to Dusky HRC)
Toni Bamford, DHRC Secretary, 89749 Hill Rd, Springfield, OR 97478
