Name:
_______________________________________________________
Birthdate:
__________________________________ Age:
_____________
Address:
_____________________________________________________
City:
_____________________________ State:
______ Zip: _________
Home Phone:
__________________ Work Phone:
__________________
Know all men by
their presence,
that (your name)
_______________________________________ does
hereby for all heirs, executors, administrators
and assigns, fully and forever release and
discharge the said NATIONAL INDIAN WARS
ASSOCIATION, INC. (all or part), and with
the full knowledge of both (your name)
_______________________________________ and the
NATIONAL INDIAN WARS ASSOCIATION, INC. (all or
part) that there is a possibility of injuries to
his or her anatomy, of and from all claims,
demands, damages, right of action and causes of
action, on account of either known or unknown,
concealed or hidden, external or internal,
personal, physical or mental or nervous injuries
or disease, or damage to any portion of his or
her anatomy, or damage to personal property of
whatsoever description resulting, or which could
or may result from an accident or anything which
occurred. I further release them from all
suits, debts, dues, sum of money, accounts,
reckonings, bonds, bills, specialties,
covenants, controversies, agreements, promises,
variances, trespasses, judgments, executions,
claims and demands whatsoever in law of equity.
It is further
understood and agreed that this full and final
release is intended to cover and does cover all
and any future injuries not known to either
party hereto, or which may later develop, or be
discovered, including the effects or
consequences thereof and including all causes of
action thereof.
I understand that
this is a compromise settlement without any
admission of liability on the part of the
NATIONAL INDIAN WARS ASSOCIATION, INC. (all or
part). I further understand in executing
this release that participation in the NATIONAL
INDIAN WARS ASSOCIATION, INC. activities
includes, but is not limited to, the reenactment
of battle(s) between opposing forces under
situations closely approximating actual battles
and utilizing black powder, small arms,
artillery and swords. Additionally,
mounted and dismounted maneuvership drills and
battles will be utilized.
Executed at
_________________________________________ this
___________ day of _______________________
Signed
__________________________________________________