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CWA Parental Permission and Indemnification for Minor
CONNECTICUT WATERFOWLERS ASSOCIATION, INC. 29 Bower Hill Road
,
Oxford,
CT 06478
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
*
Indicates required field
In consideration for
Name
*
First
Last
(Hunter’s name), a mi
nor being
permitted by
Name
*
First
Last
(Parent’s name) to participate in the
Connecticut Waterfowlers 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 Waterfowlers 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 Waterfowlers Association’s
Waterfowl Mentoring Program.
I, for myself and on behalf of said minor further agree not to sue the Connecticut
Waterfowlers 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
possession.
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
and insects.
Date
*
Signature of legal guardian | Custodian
*
Acknowledgement of Signature
*
Yes I confirm the above
No I do not agree
Submit
Home
Testimonials
Board Members
Bylaws
Meeting Minutes
Contact Us
News
USDA Survey
Newsletter
Memberships
Education
Mentoring Information
Junior Duck Stamp
CWA Tips
Hunt Smart
Conservation
Conservation News
Nehantic Project
>
Nehantic Update
Banding
Wood Duck Boxes
>
CWA Wood Duck Boxes
EVENTS
Coming Events
Recent Events
>
2023 Fundraising Banquet
2023 Sporting Clays
2023 Junior Duck Stamp
2022 Fundraising Banquet
2022 Waterfowl Training
2022 Sporting Clays
Beretta A400 Raffle
2022 Junior Duck Stamp
2021 Junior Duck Stamp
2020 Junior Duck Stamp
2020 Wood Duck Boxes
2020 Members Meeting
2019 Waterfowl Seminar
2019 Fundraising Banquet
2019 Fishing & Hunting Show
2019 Junior Duck Stamp
2019 Members Meeting
Archives
>
2017 Events
>
August 5th Fun Shoot
2017 Training Day
2017 Hunting & Fishing Day
2018 Events
>
2018 Duck Stamp
2018 Junior Duck Stamp
2018 Fundraising Banquet
2018 Goose Banding
2018 Waterfowl Training
2018 Wood Duck Boxes
CWA Merchandise
Member Information
Member Photos
>
CWA Member Older Photos
Argentina Hunt
CWA Carvers
>
Rich Chmiel
Peter Johnson
Recipes
>
Duck
Goose
Woodcock
Venison
Fish
Marketplace
>
Carl's Custom Calls