Disclaimer (HOLD HARMLESS AGREEMENT) I, and (we),__________________________________________ and _________________________ hereby hold the land owners Raymond Cockrell, his spouse, heirs, and assigns, and the Northern Utah Prospectors Association, and the Gold Prospectors Association of America, and the Snake River Region Chapter of the Gold Prospectors Association of America, and the Nampa Chapter of the Gold Prospectors Association of America, and the Caribou Chapter of the Gold Prospectors Associate of America, jointly and individually harmless (free and clear) from any injury I (we) might sustain on that certain property located near Salmon, Idaho, during the weekend of _____________________, 2015, while attending prospecting outing on said property. Dated this ______ day of _______________, 2015. Signature (Member) _____________________________ Signature (Spouse Member) _____________________________ If children are attending, parents must name each child and sign for each child. (Add additional lines if needed.)
Disclaimer (HOLD HARMLESS AGREEMENT) I, and
(we),__________________________________________ and
_________________________ hereby hold the land owners Raymond
Cockrell, his spouse, heirs, and assigns, and the Northern Utah
Prospectors Association, and the Gold Prospectors Association of
America, and the Snake River Region Chapter of the Gold Prospectors
Association of America, and the Nampa Chapter of the Gold
Prospectors Association of America, and the Caribou Chapter of the
Gold Prospectors Associate of America, jointly and individually
harmless (free and clear) from any injury I (we) might sustain on
that certain property located near Salmon, Idaho, during the
weekend of _____________________, 2015, while attending prospecting
outing on said property.Dated this ______ day of _______________,
2015.
Signature (Member) _____________________________Signature
(Spouse Member) _____________________________If children are
attending, parents must name each child and sign for each child.
(Add additional lines if needed.)
_______________________________________________(Name and age)
Please PrintBY:
_______________________________________________Signature of parent
or guardian_______________________________________________(Name and
age) Please PrintBY:
_______________________________________________Signature of parent
or guardian
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