DA$H for CA$H Registration and Waiver Form

 

Mail to Avon Anglers Unlimited Inc., P.O. Box 101, Avon, NY 14414.  Each partner must sign. All signatures will signify that you have read and agree to abide by the conditions as set for under the Waiver Form.

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House #  &  Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Phone #                                                                           e-mail 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature:_____________________________________________

 

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House #  &  Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City                                                                                 State                      Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone #                                                                           e-mail  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature:_____________________________________________

 

Waiver Form: In consideration of being accepted to participate in anyway in the Avon Anglers Unlimited Inc.       

                program events & activities of the fishing events you must acknowledge appreciate & agree that

1)       The risk of injury from the activities above in this program is significant including the possibility of permanent paralysis and death, while specific rules, equipment & personal discipline may reduce,  the risk of serious injury does exist. Boaters may be required to show proof of  liability insurance.

2)       I knowingly and voluntarily assume all risks both known and unknown, even if arising from the negligence of the releases or others, and undertake full responsibility from my participation.

3)       I will agree to conform to the stated & conventional terms & conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will separate myself from participation.

4)       I will comply with all U.S. Coast Guard and NYS Fish & Game regulations. I have read this release of liability and assumption of risk agreement and the attached rules. I fully understand the terms, understand the terms, understand that I have given up substantial rights by signing it, and sign it voluntarily without any incentive.