Release Form

I hereby release and agree to hold CLOVER HOLLOW HUNTING PRESERVE, INC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the preserve, or that may otherwise arise in any way in connection with any services received from CLOVER HOLLOW HUNTING PRESERVE, INC. I understand that this release discharges CLOVER HOLLOW HUNTING PRESERVE, INC from any liability or claim that I, my heirs, or any personal representatives may have against the preserve with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from and by CLOVER HOLLOW HUNTING PRESERVE, INC. This liability waiver and release extends to the preserve together with all owners, partners, and employees.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that CLOVER HOLLOW HUNTING PRESERVE, INC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that CLOVER HOLLOW HUNTING PRESERVE, INC cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, preserve staff, and other preserve clients and their families/guests.

I attest that:

* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

* I have not traveled internationally within the last 14 days.

* I have not traveled to a highly impacted area within the United States of America in the last 14 days.

* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.

* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

Who will be participating?

Adult  Adult and Children  

Signee Information

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.