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I _______________________________________ being a mature adult understand that hunting, trapping, fishing, snowmobiling, and related activities are by their very nature dangerous. I release Glen Wysocki, his spouse, heirs , and/or assigns, and Wolf Trackers a.k.a. Wolfbusters from all liability associated with hunting, trapping, fishing, snowmobiling, or related activities. I appoint Glen Wysocki as my attorney in fact to act for me in my name and my behalf, in any way he deems reasonable if I am not reasonably able with respect to those matters if any injury, illness, medical or dental emergency occurs. I further authorize, consent, and agree to be financially responsible for reasonable expenses pertaining to emergency transportation, medications, medical or dental treatment, diagnostic or surgical procedures or any other emergency actions as my medical attorney-in-fact shall deem necessary and appropriate for my best interest. ______________________________ Signature ______________________________ Print name |
Mail To WolfBuster, Box 175, Dillingham, Ak 99576 |
Release Form |