Adult Waiver and Release of Liability
In consideration Of being allowed to participate in any way in the Elk City Adventures LLC
related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risk of injury from the activities involved in this activity 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 KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS BOTH KNOWN AND UNKNOWN, EVEN IF ARISING FROM
THE NEGLIGENCE OF THE RELEASEE or others, and assume full responsibility for my participation; and,
3. I will 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,
4. I, for myself and on behalf of my heirs, assigns, personal, representative, and next of kin, HERBY RELEASE AND HOLD
HARMLESS THE ELK CITY ADVENTURES/RED RIVER OUTFITTERS IDAHO, their officers, (“Releasee”), WITH
RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, whether arising from
the NEGLIGENCE OF THE RELEASEE OR OTHERWISE.
5. I give my permission for the free use of my name and/or pictures for use in broadcasts, telecasts,
Newspaper, etc. for the promotion and information purposes of the event organizers.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK 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.
NAME---------------------------------------------------------------------PHONE-----------------------------------------
MAILING ADDRESS------------------------------------------------------------------------------------------------------
CITY-------------------------------------------------------STATE--------------------------ZIP---------------------------
PARTICIPANT SIGNATURE-----------------------------------------------------------------DATE-------------------
FOR PARTICIPANTS OF MINOR AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
This is to certify that I, as parent / guardian with legal responsibility for this participant, do consent and agree to his /her release as provided
above of all the Releasee, and, for myself, my heirs, assigns, and next of kin. I release and agree to indemnify the releasee from any and all
liability incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE
--------------------------------------------------------------------------------------------------------------------------------Parent/guardian signature: Parent/guardian printed name: Relationship
--------------------------------------------------------------------------------------------------------------------------------Parent/Guardian signature; Parent/Guardian printed name Relationship
Emergency Phone-------------------------------Name-------------------------------------------------Date---------------.
Rich "Stitch" and Joannie Kaech
208-842-2992
Hunting Location: North Central Idaho's Backcountry