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I AGREE THAT: I WILL allow MY PHOTOGRAPH, PICTURE OR LIKENESS and/or VOICE to APPEAR in any official documentary, promotional (including any and all advertisements), television, radio or film coverage of the event, WITHOUT COMPENSATION. I CONSENT TO: ALL EMERGENCY MEDICAL TREATMENT as may be deemed appropriate under existing circumstances by medical personnel or personnel associated with the event. I HAVE READ THIS FORM IN ITS ENTIRETY AND HAVE PROVIDED TRUTHFUL INFORMATION. ___________________________________ ______/_____/______ ______ ______________ Name of Participant (Print) Date of Birth Age Home Phone ___________________________________ __________________________ ___ _________ Address City State Zip Code ___________________________________ _____________________________ __/___/__ Name of Parent/Legal Guardian if Signature of Participant or Date Participant is a minor (Print) Parent/Legal Guardian. Individually And in the capacity as Parent/Legal Guardian if Participant is under 18 years of age eable, and Understanding Of All Of All Of The Above. I (VXnpÌv" ø ú è Ž ŠjnŒRTr¤¦FHJô¤¦N²´^ò„à>€„ˆŠŒøøôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôôÌÌ(2‚"'(Š  Û)Û @·S ·VX,^pÌú è î  nŠVt¨ö¤PŒêÞÔÞÔÞÔÞÔÞÔÞÔÞÔÞÔÞÔ "   "  "À" CHNKWKS *øÿÿÿÿTEXTTEXTŒFDPPFDPPFDPCFDPCSTSHSTSHSTSHSTSH2SYIDSYIDPSGP SGP dINK INK hBTEPPLC lBTECPLC „FONTFONTœ<STRSPLC Ø:PRNTWNPR FRAMFRAM)ˆTITLTITL¦)DOP DOP ¼).dvertisements), television, radio or film coveAGREEMENT, RELEASE AND WAIVER OF LIABILITY In consideration of being permitted to participate in or assisting others in participating in shooting at Coastal Georgia Gun Club and related activities, on behalf of myself, or a minor child or ward, heir, next of kin, personal representative, successor or assign: I ACKNOWLEDGE, UNDERSTAND AND DECLARE THAT: A. The best of my knowledge, I am in GOOD PHYSICAL CONDITION and have no disease or injury that would be aggravated in participating in activities related to the event. B. Participating or assisting others in the event may involve RISK OF INJURY TO ME. INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, or other consequences which might result not only from my own actions, in-actions or negligence but also the actions, in-actions or negligence of others, the rules of play, or the conditions of the premises or of any equipment used. C. There may be OTHER RISKS not known or not reasonably foreseeable, and Understanding Of All Of All Of The Above. I ASSUME ALL OF THE ABOVE RISKS AND RELEASE, WAIVE, DISCHARGE, AND HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE: A. Coastal Georgia Gun Club, its members or volunteers affiliated with this event. B. Any affiliated subsidiary, successor, organization, or related companies or businesses, other participants participating or sponsoring municipalities, governmental agencies, international organizations, agencies, sponsors, or advertisers, the respective administrators, officers, directors, agents, representatives, employees, or volunteers of such entities or organizations. C. Owners, Lessors, and lessees of premises used to conduct the event FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY OR ANY OTHER CONSEQUEN  îUÿÿÿÿ îU "ð " ttŒŒ( îUTimes New RomanÿÄ  " " "¤øÃìÈXX–(–,d€Lexmark 8300 Series餜ÈŸê o°Lexmark 8300 Seriesä ö ýÿÿÿýÿÿÿ餗¼Lexmark 8300 Series8餗¼ýÿXö ä ` : K–ÿÿcSoftware\LexmarkInkjetÿÿÿÿþÿýÿüÿXX,XXXXX,X°ÀXXXX°°餗¼%winspoolLexmark 8300 SeriesUSB001Fÿÿÿ"\²"°€’"ÑV"$c"ð` "ð``""A."@ÿÿÿ"\²" î"ÑV"$c"ð` "ð``"."Waiver.wps."ðù"Øp"ðù"Øpp (" )"r film coveþÿ ÿÿÿÿ²Z¤ žÑ¤ÀO¹2ºQuill96 Story Group Classÿÿÿÿô9²qyyyPyWTy[