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I, as the applicant, am fully aware of the inherent risks and hazards associated with hunting and the <br />use ofarchery equipment. I knowingly and expressly assume the risk ofmy exposure to dangerous <br />conditions. This assumption ofrisk does not extend to the willful, wanton, or intentional misconduct <br />by the City ofElk River ("City") or any person acting on behalf of the City. <br />I, as the applicant, understand and agree that neither the City, or any person acting on behalf of the <br />City, may be held liable in any way for any event which occurs in connection wrth the hunting <br />activity which mayresultin harm, death, injury, or other damage to me. This waiver ofliability does <br />not waive liabrlity for any injuries that I obtain as the result ofwrllful, wanton, or intentional <br />misconduct by the City or anyperson acting on behalfofthe City. Further, I as the applrcant will <br />fully defend and indemnify the City from any claims, lawsuits, causes ofaction, or judgments arising <br />or resulting from my activrties. <br />Last First Full middle name <br />Name <br />Address <br />Date of birth <br />MNDNR # <br />(Located on yTour DNR Hunting License) <br />Email <br />Cell phone <br />Home phone <br />Signature <br />Parent SignatuYe if applicant is less than 18 <br />If applying as a t�vo-person team, list youY team membeYs name <br />Please sul�lnit colnpleted application and ,�90 application fee to eitheT� of the follo�a�ing locations: <br />By Mail In PeT:son <br />Dee�� He�� Manage�nent Pz og�ayn DeeT� He�� Manage�nent P� og�aln <br />Elk l�iveT� Pul�lic i�o�ks Faczlity Elk AiveT� City Hall <br />99000 PzoctoT�Boad 13065 OTono Pa�k2��ay <br />Elk Biver•, MN 55330 Elk BiveT; MN 55330 <br />