TIMBER HILLS LAKE HUNTING PRESERVE
WAIVER AND RELEASE FORM AND PARTICIPANT AGREEMENT
In consideration of the services of Timber Hills Guide/Recreational & Outfitter Services, their officers,
agents, employees, stockholders, and all other persons or entities associated with those businesses
(hereinafter collectively referred to as “the Outfitter”), I agree as follows:
Although the outfitter has taken reasonable steps to provide you with appropriate equipment and skilled
guides so you can enjoy an activity for which you may or may not be skilled, we remind you; this activity is
not without risk. Certain risks cannot be eliminated without destroying the unique character of this activity.
The same elements that contribute to the unique character of this activity can be causes of loss of or
damage to your equipment, accidental injury or illness, permanent trauma, or death. We do not want to
frighten you or reduce your enthusiasm for this activity, but we do think it is important for you to know in
advance what to expect and to be informed of the inherent risks.
HOLD HARMLESS CLAUSE TO PARTICIPANT AGREEMENT:
I, for myself, my heirs, successors, executors, and subrogors, hereby KNOWINGLY AND INTENTIONALLY
WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS (“indemnify” meaning to protect by
reimbursement or payment) the Outfitters owners, agents, and employees, with respect to any and all
claims, actions, causes of action, liabilities, suits, expenses (including costs and reasonable attorney’s fees)
and NEGLIGENCE OF ANY KIND OR NATURE, whether foreseen or unforeseen, arising directly or
indirectly out of any damage, loss, injury, paralysis, or death to me or my property in any way connected
with my participation in these recreational activities or my use of the Outfitters equipment or facilities. I
AGREE that neither I, nor anyone acting on my behalf, will make a claim of any kind against the Outfitter,
the owner of any leased private lands, the United States Forest Service, National Park Service, BLM, or any
governmental agency whose property any scheduled activity may be required to utilize, for any damage,
injury, paralysis, or death to me or my property.
I am aware that this activity entails risks of injury or death to myself. I understand that the description of
these risks is not complete and that other unknown or unanticipated risks may result in injury or death. I
agree to assume responsibility for the risks identified herein and those risks not specifically identified. My
participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in
spite of the risks.
I certify that I am fully capable of participating in this activity. Therefore, I assume full responsibility for
myself, including my minor children, for bodily injury, death and loss of personal property and expenses
thereof as a result of those inherent risks and dangers or any negligence in participating in this activity.
I have read, understood, and accepted the terms and conditions stated herein and acknowledge that this
agreement shall be effective and binding upon myself, my heirs, assigns, personal representatives, estates,
and for all members of my family, including any minors accompanying me. I acknowledge I am not relying
on any oral, written, or visual representations or statements made by the Outfitter, including those made in
brochures or other promotional material, to induce me to participate in this activity.
IN CONSIDERATION OF the covenants and agreements contained in this Agreement and other
good and valuable consideration, the receipt of which is hereby acknowledged, the parties to this
Agreement agree as follows:
1. Consideration
1. Being of lawful age and in consideration of being permitted to participate in the activity
described below, the Participant releases and forever discharges the Activity Provider, its
owners, directors, officers, employees, agents, assigns, legal representatives and
successors from all manner of actions, causes of action, debts, accounts, bonds, contracts,
claims and demands for or by reason of any injury to person or property, including injury
resulting in the death of the Participant, which has been or may be sustained as a
consequence of the Participant’s participation in the activity described below, and not
withstanding that such damage, loss or injury may have been caused solely or partly by
the negligence of the Activity Provider.
2. The Participant understands that the Participant would not be permitted to participate in
the activity described below unless the Participant has completed orientation, test drive
and agreed all equipment is safe and hazard free. signed this Agreement.
3. Details of Activity
3. The Participant will participate in the following activity: Rental of Electric Bike or
Watercraft with trolling motor on approved trails and waterways.
4. Concurrent Release
4. The Participant acknowledges that this Agreement is given with the express intention of
effecting the extinguishment of certain obligations owed to the Participant and with the
intention of binding the Participant’s spouse, heirs, executors, administrators, legal
representatives, and assigns.
5. Fitness to Participate
5. The Participant acknowledges that the Participant does not have any physical limitations,
medical ailments, physical or mental disabilities that would limit or prevent the
Participant from participating in the above-mentioned activity. If required, the Participant
will obtain a medical examination and clearance.
6. Full and Final Settlement
6. The Participant hereby acknowledges and agrees that the Participant has carefully read
this Agreement, that the Participant fully understands the same, and that the Participant is
freely and voluntarily executing the same.
7. The Participant understands that by signing this Agreement, the Participant agrees to be
forever prevented from suing or otherwise claiming against the Activity Provider for any
property loss or personal injury that the Participant may sustain while participating in or
preparing for the above noted activity.
8. The Participant has been given the opportunity and has been encouraged to seek
independent legal advice prior to signing this Agreement.
9. This Agreement contains the entire agreement between the parties to this Agreement and
the terms of this Agreement are contractual and not a mere recital.
10. This Agreement will be governed by and construed in accordance with the laws of the
State of Kansas. This includes the Kansas Farm act as posted on THLRCC property.
Participant agrees to take full responsibility for and activity as agreed above.