Deer Hunt for the Physically Challenged Ekalaka, Montana 2005

In consideration of being allowed to participate in any of the activities offered by THE BEAVER CREEK RENDEZVOUS, THE L.A. RANCH & LEONARD A. LIVINGSTON, of which I voluntarily request the right of participation, I hereby state and acknowledge as follows:

1. I voluntarily request the right to participate in activities offered.

2. Acknowledge and fully understand that I and/or the minor participant, will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result from my own actions, inaction's or negligence of others or the condition of the premises or any equipment used. Further, that there may be other risks not known to me or not reasonably foreseeable at this time.

3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.

4. Release, waive, hold harmless, discharge, and indemnify LEONARD A. LIVINGSTON, THE L.A. RANCH, and THE BEAVER CREEK RENDEZVOUS, their representatives, administrators, directors, agents, sponsors, advertisers, their heirs, and if applicable, owners and lessees of premises used to conduct the event, all of which are hereinafter referred to as "releasees", from demands, losses or damages on account of injury, death or damage to property, caused or alleged to be caused in whole or in part by the participant's or other's participation in the programs.

5. I give permission for Beaver Creek Rendezvous to use photographs, videos and general information about me in their efforts to publicize their programs.

6. I understand the Beaver Creek Rendezvous staff have the authority to exclude participants from the program for behavior they deem to be unsafe. Use of alcohol and illegal drugs, or being under their influence, is unsafe behavior.

7. I give permission for Beaver Creek Rendezvous staff to obtain emergency medical treatment for me, as they deem advisable.

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Participant's Printed Name      Signature                           Date



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Parent/Guardian's Printed Name  Signature                           Date
(if participant is under 18 yrs of age)