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I have ready the above rules and agree to abide by them. <br />I, as the applrcant, am fully aware of the inherent risks and hazards associated wrth hunting <br />and the use ofarchery equipment. I knowingly and expressly assume the risk ofmy <br />exposure to dangerous conditions. This assumption ofrisk does not extend to the willful, <br />wanton, orintentional misconduct by the City or anyperson acting on behalfofthe City. <br />I, as the applicant, understand and agree that neither the City ofElk 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 wrth the hunting activity which mayresult in harm, death, injury or other <br />damage to me. This waiver oflrability does not waive Iiabrlity for any injuries that I obtain <br />as the result of wrllful, wanton or intentional misconduct by the City or any person acting on <br />behalfofthe City. Further, I as the applrcant wi11 fully defend and indemnify the City ofElk <br />Rrver from any claims, lawsuits, causes ofaction, or judgments arising or resulting from my <br />activities. <br />Last <br />Name <br />Address <br />Date of birth <br />First Full middle name <br />MNDNR # <br />(Located on yTour MN DNR Hunting License) <br />Email <br />Cell phone <br />Home phone <br />Signature <br />PaYent SignatuYe if applicant is less than 18 <br />If applyring as a two person team, list youY team membeYs name <br />Please sud��nit co�nplete�l application and ,� 10 application fee to eitbe�� of tbe follo�a�ing locations: <br />By Mail <br />DeeT• He� � Manage�nent PT og7 a�n <br />Elk Bive�� Pul�lic 1�0� ks Facility <br />>9000 Procto�• Boad <br />Elk BiveT; MN 55330 <br />In PeTson <br />DeeT• HeTd Managelnent P� ogTaln <br />Elk l�iveT� City Hall <br />13065 Orono Pa�k2a�ay <br />Elk BiveT, MN 55330 <br />