HOLD HARMLESS AGREEMENT
I/We, the undersigned, (herein after referred to as participant) assume all risk and/or
hazards associated with participants involvement in the HAVASU GOLD SEEKERS,INC.
Prospecting Club. Participant agrees to indemnify and hold harmless all Club Officers, Sponsors
And/or other third, fourth, fifth, etc. parties involved in club activities.
Participant realizes that metal detecting, gold prospecting and associated activities can be dangerous. The terrain can be hazardous, and there may be wild and domestic animals and snakes present.
Some locations may have open shafts, pits and tunnels. Some area may be suitable for four-wheel-drive vehicles.
Participant assumes full responsibility for any injury, loss or liability which may result or be alleged to have resulted from involvement in these activities. This includes, but is not limited to, loss of life, limb
and sight. Loss and liability is also accepted for, but not limited to metal detectors, mining equipment,
pets and vehicles. This agreement includes the trip to and from the actual location of HAVASU GOLD
SEEKERS. INC. Properties or claims.
In case of injury or sudden illness, Participant hereby gives authorization to any hospital, Doctor or
emergency personnel to render immediate emergency aid as may be required at the time for Participants
health and safety. It is understood by Participant that the expense of this service is accepted by Participant.
This document applies to any and all activities while on HAVASU GOLD SEEKERS,INC. Properties
or claims in which Participant is involved. It applies not only to the date of
Signature, but to any and all future dates. This document will be in effect until and unless written
Revocation is received.
Signature of Participant .Date
Signature of Participant .Date
Name (s) of Minor Child (ren)
.
Signature of Parent
Or Legal Guardian .Date ..