MāHUNT® APPLICATION FORM NO. 4 |
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GEP (Hunting/Trapping Allowed) | Blind Bid |
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Name of Applicant:
_________________________ |
Name of Companion:
_________________________ |
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Telephone Number of Applicant: (Daytime)______________ (Evening)______________ |
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Dates Requested: ______________ through ______________ | |||||||||||||||||||||||
Cash Bid: I have enclosed a check in the amount of $__________ (my bid for the dates and the property identified above) plus a $100 deposit to cover any damages to the property caused by my Companion or me. I understand that these funds are donations to MāHUNT for use in management and conservation of the resources on the properties owned and operated by MāHUNT, and are not payments for the right to visit the property. I understand that the entire check, bid plus deposit, will be returned to me at the above address if I am not highest bid (and highest preference in the case of a tie bid) for the property and times selected above. | |||||||||||||||||||||||
Age of Applicant: ____ Age of Companion:____ | |||||||||||||||||||||||
Attestation: I hereby acknowledge and represent that I have read and will abide by the attached Rules/Log Book, including its Specific Property/Habitat Restrictions and Warnings for the property chosen above, and agree to sign the Log Book and complete the log book questionnaire in its entirety, located on the property near the entrance when entering and exiting such property. I further attest that I have not been convicted of any crime set forth in the Admittance Process or Blind Cash Bid Procedures description and instructions of MāHUNT. |
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(Application Must Include a Signed and Completed Waiver and Release)
Waiver and Release |
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In consideration for being permitted admittance to this MāHUNT property, the sufficiency of which is hereby acknowledged, I hereby agree to the following Waiver and Release. I acknowledge that recreational activities involve inherent risks, hazards and dangers that cannot be eliminated. I UNDERSTAND THAT THESE RISKS, HAZARDS, AND DANGERS INCLUDE, BUT, ARE NOT LIMITED TO: | |||||||||||||||||||||||
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My participation in this activity is purely voluntary and on my own behalf. I further represent that I am over 18 years of age (or am agreeing to this Waiver and Release on behalf of a minor child as custodian for that minor child) and under no compulsion, threat or duress to participate in any activities while present at this MāHUNT property. I am entering this MāHUNT property with full knowledge of the inherent risks, hazards and dangers involved, including the risk of grave and serious injury, death and property damage, and hereby assume and accept any and all such risks of any kind or degree. | |||||||||||||||||||||||
Lastly, I, for myself, my heirs,
estate, successors and assigns, hereby KNOWINGLY AND INTENTIONALLY WAIVE AND
RELEASE, FOREVER DISCHARGE, INDEMNIFY AND HOLD HARMLESS MāHUNT and its
related entities, their directors, officers, agents, employees, volunteers
and all other persons or entities acting in any capacity on MāHUNT’s behalf,
from and against any and all claims, demands, actions, causes of action,
liabilities, suits, expenses (including reasonable attorney’s fees) which
are related to, arise directly or indirectly out of, or are in any way
connected with my presence, actions or omissions in and on the MāHUNT
recreational property, and from any cause whatsoever. Any lawsuit against
MāHUNT shall be filed solely in the State of Wisconsin. If any portion of
this Waiver and Release is found to be void or unenforceable, the remaining
portion shall remain in full force and effect. This Waiver and Release shall
remain in full force and effect until revoked in writing by both myself and
MāHUNT. THE UNDERSIGNED HAVE READ, UNDERSTOOD AND AGREE TO THIS WAIVER AND RELEASE IN ITS ENTIRETY. |
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Co-Signed (Where Necessary): I am the adult guardian of the above Companion, by my signature below, I hereby approve of and accept all responsibility for his or her actions on and to accompany and proximately supervise him or her at all times while he or she is on the property. | |||||||||||||||||||||||
Applicant Co-Signature ____________________________ | Companion Co-Signature ____________________________ | ||||||||||||||||||||||
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