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CWA Parental Permission and Indemnification for Minor
CONNECTICUT WATERFOWL ASSOCIATION, INC.
BOZRAH, CT 06334
PARENTAL PERMISSION AND INDEMNIFICATION FOR A MINOR
(for parents or legal guardians of youths under 18 years of age)
If less than eighteen years of age, a parent, legal guardian, or legal custodian must sign
the following indemnification. A minor must be at least twelve (12) but not more than
eighteen (18) years of age, at the time he/she participates in this program
In consideration for
(Hunter’s name), a mi
(Parent’s name) to participate in the
Connecticut Waterfowl Association’s Waterfowl Mentoring Program, I agree to the
following waiver, release and indemnification:
The undersigned parent, guardian, or custodian of the minor listed above, 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 the Connecticut Waterfowl Association, their officers, directors, agents
and volunteers, including mentors, from and against any claims, actions, demands,
expenses, liabilities (including reasonable attorneys’ fees), and NEGLIGENCE made or
brought by said minor or by anyone on behalf of said
minor, as a result of said minor’s
participation in the Connecticut Waterfowl Association’s
Waterfowl Mentoring Program.
I, for myself and on behalf of said minor further agree not to sue the Connecticut
Waterfowl Association as a result of any injury, paralysis or death that said minor suffers
in connection with his/her participation in the activities of shooting firearms or any other risks of injury associated with waterfowl hunting including but not limited to:
The risk of handling firearms and being near others that have firearms in their
The risk of injury from ammunition 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
Signature of legal guardian | Custodian
Acknowledgement of Signature
Yes i confirm the above
No I do not agree
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