Junior Duck Stamp
CONNECTICUT WATERFOWL ASSOCIATION
PO Box 74, Bozrah, CT 06334
Waterfowl Mentoring Program
MENTOR OR ADULT NOVICE HUNTER WAIVER AND RELEASE
In consideration of becoming a participant in the Connecticut Waterfowl Association’s Water
Mentoring Program, I agree to the following Waiver and Release:
I acknowledge that waterfowl hunting has inherent risks, hazards and dangers for anyone that cannot be
completely eliminated. I UNDERSTAND THAT THESE RISKS, HAZARDS AND DANGERS
INCLUDE WITHOUT LIMITATION:
The risk of handling firearms and being near others that have firearms in their possession.
The risk of injury from ammunitions and shot from other guns.
Inclement weather conditions.
Risks associated with traveling in boats, canoes or kayaks over the water.
Risks associated with walking in rough terrain including encounters with wildlife and insects.
I understand that participation in the Connecticut Waterfowl’s Association Waterfowl Mentoring Program
may require good physical conditioning and a degree of skill and knowledge. I believe that I have good
physical conditioning and the degree and skill and knowledge necessary for me to engage in these activities
safely. I understand that I have responsibilities. My participation in this activity is purely voluntary. No one
is forcing me to participate and I elect to participate in spite of
I AM VOLUNTARILY
PARTICIPATING WITH FULL KNOWLEDGE OF THE INHERENT RISKS, HAZARDS AND
DANGERS INVOLVED AND HEREBY ASSUME AND ACCEPT ANY AND ALL RISKS OF
INJURY, PARALYSIS OR DEATH.
Lastly, I, for myself, my heirs, successors, executors and subrogates, hereby KNOWINGLY AND
INTENTIONALLY WAVE AND RELEASE,
INDEMNIFIY AND HOLD HARMLESS the
CONNECTICUT WATERFOWL ASSOCIATION, INC., their officers, directors, agents and volunteers
from and against any and all claims, actions causes of action, liabilities, suits, expenses (including
reasonable attorneys’ fees) which are related to, arise out of
, or are in any way connected with my
participation in this activity including, but not limited to, NEGLIGENCE of any kind or nature, whether
foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, paralysis, or death
results from the negligence of the mentored hunter , or from some other cause. I, for myself, my heirs, my
successors, executors and subrogates, further agree not to sue any Connecticut Waterfowl Association
member as a result of any injury, paralysis or death suffered in connection with my participation with any
of the activities listed above.
I HAVE CAREFULLY READ, CLEARLY UNDERSTAND AND
VOLUNTARILY SIGN THIS WAIVER AND RELEASE AGREEMENT
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Junior Duck Stamp