NOTICE
ACKNOWLEDGEMENT OF HAZARDS
ASSUMPTION OF RISK AND RELEASE OF LIABILITY

THIS IS A RELEASE – PLEASE READ CAREFULLY BEFORE SIGNING

The undersigned does hereby request that he/she be allowed to participate and engage in all activities offered by Burge Plantation Club, Inc. including, but not limited to quail hunting, deer hunting, turkey hunting, clay bird shooting, fishing, horseback riding and other club activities on the lands, both owned and leased, by Burge Plantation Club, Inc. a Georgia corporation qualified to do business in the state of Georgia.  The undersigned, for him/herself, his/her executors, administrators, heirs, and assigns does hereby release and forever discharge Burge Plantation Club, Inc. and any other person, firm or corporation, including Alexander G. and Elizabeth R. Morehouse, their family members, Burge Plantation Inc. and all employees and agents of the above charged or chargeable with liability or responsibility regarding said hunting, shooting and other activities, from any and all claims, demands, actions, of any and every kind whatsoever, which he/she or his/her minor children and their companions in my custody have, or could hereafter have, on account of, arising out of or in connection with said activities on said lands.

And further, this release to carry with it a full and final release of the above named company and individuals from any and all liability from any and all claims, demands, choices of action of every nature and kind, whatsoever, now and existing or which may arise, including expense, service, loss of support and maintenance, mental anguish and any and all other claims directly or indirectly growing out of the undersigned’s participation in said hunting, shooting and club activities.  And in full of all other claims of any nature occurring prior to the date hereof.

The undersigned further acknowledges the fact that hunting, shooting, and related activities often involve firearms, horses, dogs and club vehicles all of which may be dangerous. Nonetheless, the undersigned desires to participate in such activity with the full knowledge, understanding and appreciation of the risk and potential injury involved.

Nonetheless, I desire to participate and knowingly, freely and voluntarily execute this Release of Liability and Assumption of Risk and Hazards involved.

I HAVE VIEWED THE SAFETY VIDEO AND I HAVE READ THE ABOVE WAIVER.