Ice Fishing Entry Form

Name

Address

                                                                                                                         City                                                                 State                      Zip

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.