Surely Fishing Guide Service

Acknowledgement of Indemnity, Waiver of all claims,

Release from Liability and Assumption of Risks

I, , on this day of ,

do hereby:

· Recognize that the sport fishing excursion I have requested from Surely Fishing Guide Service takes place in a natural environment, possibly including hazardous waters. The “excursion” involves risks, dangers and hazards resulting from many different circumstances, including but not limited to: collision with man-made and natural objects; changing weather conditions; equipment faults and other circumstances not referred to herein but inherent in the hazards which may be encountered in subject environments;

· Understand and accept that the “excursion” involves risks, which may include, but is not limited to, personal injury or death and damage to or loss of property;

· Assume responsibility for, and the risk of, personal injury, death or property damage or loss resulting from any participation in the services provided by Surely Fishing Guide Service;

· Hold harmless and indemnify Surely Fishing Guide Service, its employees, workers, servants and agents from any and all liability for any loss, damage, personal injury, death, or expenses sustained by me or any third party which in any way arises out of, or relates to my participation in the services, however caused, natural or otherwise.

I have carefully read and clearly understood this release of liability prior to signing it, and I am aware that by signing this release of liability, I am waiving certain legal rights which I, or my heirs, next of kin, executors, administrators, and assigns may have against the releasee.

Date______________________ Signature of Participant_______________________________

Print Name_________________________________________