Adult Hold Harmless Agreement

Part 2 of 3


In consideration of the privilege granted me to participate in the Mending Waters Montana, Inc. programs (the “Programs”), I, the undersigned, in acknowledgment that I am doing so entirely upon my own initiative, risk and responsibility, do hereby, for myself, my heirs, executors, and administrators, agree to remise, fully release, hold harmless, and forever discharge Mending Waters Montana, Inc. and each of their officers, directors, employees and volunteers, acting officially or otherwise, jointly and severally from any and all claims, demands, actions or causes of actions, on account of my death or on account of any injury to me or my property which may occur from any cause whatsoever, including, without limitation, the negligence of any Releasee, or the consumption of alcohol by me or others, while participating, or as a result of my participation, in the Programs.

I fully understand the risks and dangers involved in fly fishing, particularly when wading or boating, and related fly fishing activities.

In the event of injury to me while participating in the Programs, I hereby authorize any of the Releasees to seek on my behalf any necessary medical attention.

If any term or other provision of this Release Agreement is determined by a court of competent jurisdiction to be invalid, illegal or incapable of being enforced by any rule of law or public policy, all other terms, provisions and conditions of this Release Agreement shall nevertheless remain in full force and effect.

I have read this Release Agreement and fully understand the consequences of this Release Agreement, including that it releases the Releasees from any and all liability on account of any injury to me or to my property. I further attest that I am over 18 years of age and possess the capacity to enter into this Release Agreement.

Participant Signature