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BARTLESVILLE SPORTSMEN'S CLUB, INC. - (Club) P.O. Box 391 - Bartlesville, OK 74005-0391 |
| LIABILITY RELEASE |
| I hereby release and discharge the Club, its agents, members, and officers and directors from all claims, actions, demands, and judgments which I, the undersigned participant/parent/legal guardian, may have or claim to have against the Club or its successors and the above identified persons for all personal injuries or death, known or unknown to myself and/or person(s) I am responsible for, and injuries to property, caused by or arising out of the above activity. |
This Liability Release was made on this _____ day of ____________, ________ by _____________________________ (applicant), whose address is _____________________________ (include address, city, country, state and zip code). In consideration for permission by the Bartlesville Sportsmen's Club ("Club") granted to ___________________________ (applicant) to participate in any activities at the Club, at Bartlesville, Oklahoma. I, the undersigned have read this release and the "Safety Rules" and understand all their terms. I execute the release voluntarily and with full knowledge of its significance. IN WITNESS WHEREOF, I have executed this release, on the day and year stated above. Date: ____________ Applicant's Signature: ____________________________________ Witness's Signature: ______________________________________ |