Southern Ohio Outfitters
1336 Hanley Rd.
Jackson, OH 45640

 If under eighteen years of age, parent, guardian, or custodian must sign the following indemnification

INDEMNIFICATION

In consideration for the above minor being permitted by Southern Ohio Outfitters to participate in the activities of Southern Ohio Outfitters which include, without limitation, the use of its services, animals and equipment, I agree to the following wavier, release, and indemnification:

The undersigned parent, guardian, or custodian of the above minor, for himself/herself and on behalf of said minor, hereby joins in the foregoing Waiver and Release and hereby stipulates and agrees to save and hold harmless, indemnify, and forever defend Southern Ohio Outfitters, their directors, officers, agents, employees, and volunteers from and against any claims, actions, demands, expenses, liabilities (including reasonable attorneys' fees), and NEGLIGENCE made or bought by said minor or by anyone on behalf of said minor, as a result of said minor's participation in the activities of Southern Ohio Outfitters and his or her use of the property, animals, if any, and facilities of Southern Ohio Outfitters. I, for myself and on behalf of said minor, further agree not to sue Southern Ohio Outfitters as a result of any injury, paralysis or death that said minor suffers in connection with his/her participation in the activities of Southern Ohio Outfitters.

 

 ____________________________________ Date

 

_________________________________________ Signature of Parent, Guardian or Custodian or Minor

 

 

__________________________________________ Print Name of Minor

 

_____________________________________ Date

 

__________________________________________ Witness

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