WAIVER AND HOLD HARMLESS AGREEMENT – (Print Release Agreement in pdf format)

I hereby represent that I wish to participate in a program, class or activity sponsored by the Fourth Corner Fly Fishers, a non-profit corporation. I recognize that any sporting activity may involve certain dangers to my personal health and safety, but that fly fishing is particularly dangerous because it is conducted in water and that outdoor natural features or processes, such as slippery soils, quicksand, mud, rushing water, deep pools, unstable rocks, falling trees, tangled roots, nettles and thorns could injure or kill me, and that there may also be domestic or wild animals present during my participation in such activities that pose additional risks of harm, and that I may be directly impacted by bad weather, dangerous currents and other forces of nature that may cause serious injury or death, by drowning or otherwise, and that there exits a further risk of harm resulting from the actions of other participants and/or unrelated persons, and because the sport involves multiple hazards to my personal safety created by fly fishing equipment, including sharp fish-hooks that may cut, gouge or blind a person, flexible rods and whipping lines that may bruise or blind a person, and that there are additional risks that are not enumerated here.
I further acknowledge that indoor activities sponsored by the Fourth Corner Fly Fishers may also involve dangers to my personal health and safety, including but not limited to hazards created by the use of sharp fish-hooks, razor blades & scissors, fly tying materials that may contain caustics, irritants or allergens, fly tying vises that may pinch or tear flesh or clothing, along with cements, lacquers, varnishes and dyes that contain toxic substances, and that there exits a further risk of harm resulting from the actions of other participants and/or unrelated persons, along with additional risks that are not enumerated here.
I understand that these hazards produce a risk of physical harm or death, as well as a risk of loss or damage to my personal property. I further understand and agree that Fourth Corner Fly Fishers would not be able to sponsor such activities without some form of agreement providing protection for Fourth Corner Fly Fishers and its officers, directors, committee members and other volunteer workers.
In consideration of the foregoing, I hereby release Fourth Corner Fly Fishers and its officers, directors, committee members and other volunteer workers from any and all liability, claims and/or causes of action arising out of, or in any way connected with my participation in the program, class or activity sponsored by the Fourth Corner Fly Fishers.
I personally assume all risks in connection with these activities, and further agree to hold Fourth Corner Fly Fishers and its officers, directors and other volunteer workers harmless from and against any and all liability, claims and/or causes of action that may result from my participation at any time in any such activities, including but not limited to claims involving negligence on the part of such officers, directors or other volunteer workers, that result in personal injury or death to myself or my family and/or loss or damage to my personal property. The terms of this agreement shall bind myself, members of my family, and my heirs, assigns, and personal representatives.
I have fully informed myself of the contents of this Waiver and Hold Harmless Agreement by reading it before I have signed it.
Signature:________________________________
Name Printed:____________________________
Address:
Dated: , 201