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4.18. SR 06-21-2021
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4.18. SR 06-21-2021
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6/17/2021 11:07:53 AM
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I have ready the above rules and agree to abide by them. <br />I, as the applicant, am fully aware of the inherent risks and hazards associated with hunting <br />and the use of archery equipment. I knowingly and expressly assume the risk of my <br />exposure to dangerous conditions. This assumption of risk does not extend to the willful, <br />wanton, or intentional misconduct by the City or any person acting on behalf of the City. <br /> <br />I, as the applicant, understand and agree that neither the City of Elk River, or any person <br />acting on behalf of the City, may be held liable in any way for any event which occurs in <br />connection with the hunting activity which may result in harm, death, injury or other <br />damage to me. This waiver of liability does not waive liability for any injuries that I obtain <br />as the result of willful, wanton or intentional misconduct by the City or any person acting on <br />behalf of the City. Further, I as the applicant will fully defend and indemnify the City of Elk <br />River from any claims, lawsuits, causes of action, or judgments arising or resulting from my <br />activities. <br /> Last First Full middle name <br />Name _____________________________________________ <br />Address _____________________________________________ <br /> _____________________________________________ <br />Date of birth _____________________________________________ <br />MNDNR # _____________________________________________ <br />(Located on your MN DNR Hunting License) <br />Email _____________________________________________ <br />Cell phone _____________________________________________ <br />Home phone ______________________________________________ <br />Signature _____________________________________________ <br />Parent Signature if applicant is less than 18____________________________________________ <br />If applying as a two person team, list your team members name ____________________________ <br />Please submit completed application and $10 application fee to either of the following locations: <br />By Mail In Person <br />Deer Herd Management Program Deer Herd Management Program <br />Elk River Public Works Facility Elk River City Hall <br />19000 Proctor Road 13065 Orono Parkway <br />Elk River, MN 55330 Elk River, MN 55330 <br />
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