ࡱ> &(%` bjbjss :~8  $ h% v :6"0 - - - $  If under eighteen years of age, parent, guardian, or custodian must sign the following indemnification: INDEMNIFICATION In consideration of the above miner being permitted by Buffalo Creek Guide Service, LLC to participate in the activities of hunting which include, without limitation, the use of its services, animals and equipment, I agree to the following waiver, release, and indemnification: The undersigned parent, guardian, or custodian of the above minor, for himself/herself and on behalf of said minor, hereby joins in the foregoing Waiver and Release and hereby stipulates and agrees to save and hold harmless, indemnify, and forever defend Buffalo Creek Guide Service, LLC, their owners, officers, agents, employees, and volunteers from and against any claims, actions, demand, expenses, liabilities (including reasonable attorneys fees) and NEGLIGENCE MADE OR BOUGHT BY SAID MINOR OR BY ANYONE ON BEHALF OF SAID MINOR, AS A RESULT OF SAID MINORS PARTICIPATION IN THE ACTIVITIES OF HUNTING AND HIS OR HER USE OF THE PROPERTY, ANIMALS, IF ANY, AND FACILITIES OF Buffalo Creek Guide Service, LLC. I, for myself and on behalf of said minor, futher agree not to sue Buffalo Creek Guide Service, LLC, Johnnie Marion Dale Jr. as a result of any injury, paralysis or death that said minor suffers in connection with his/her participation in the activities of hunting. ________________________ _________________________________ Date Signature of parent, Guardian or Custodian of Minor _________________________________ Print name of Minor ________________________ _________________________________ Date Witness     iz}~ h?jKHjhW@UhW@h?j5CJ\aJh?jCJaJhiyz f g h i ./0l~gd?j$a$~gd?j !800P:p?j/ =!"#$%` L@L Normal1$5$7$8$H$KH_HmH sH tH DA@D Default Paragraph FontRiR  Table Normal4 l4a (k@(No List hiyzfghi./0l~h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0 h0h0h0h0h0 h0 h0 h0 h0<   W@?j sColorPosD ColorSetD StylePosD StyleSet D -1-1-1-1@D P@UnknownGz Times New Roman5Symbol3& z Arial"hzFzF  !xx{{2??j2gIf under eighteen years of age, parent, guardian, or custodian must sign the following indemnification:USERUSEROh+'0$0<P `l   hIf under eighteen years of age, parent, guardian, or custodian must sign the following indemnification:USER Normal.dotUSER2Microsoft Office Word@@"@"՜.+,0d hp  DMicrosoft Corporation {' hIf under eighteen years of age, parent, guardian, or custodian must sign the following indemnification: Title  !"#$'Root Entry F!B")1Table WordDocument:SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q