Hunting and Fishing Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#000000" TEXT="#F7F7FF"> <bR> </td> <td valign="top" BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Powderkegg Wildlife Preserve, LLC.</B></FONT>     |     <A HREF="index.htm" TARGET="_top" TITLE="Powderkegg Wildlife Preserve, LLC."><U>home</U></A></div> <div> <A HREF="id22.htm" TARGET="_top" TITLE="Hunting"><U>Hunting</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Deer Hunts Photo gallery"><U>Deer Hunts Photo gallery</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="TV Shows of Hunts"><U>TV Shows of Hunts</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Fishing"><U>Fishing</U></A>   |   <B>Hunting and Fishing Application</B>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Horse Stable"><U>Horse Stable</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Accommodations"><U>Accommodations</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="Bulletin Board"><U>Bulletin Board</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Web Cam"><U>Web Cam</U></A></div> <bR> <div> <B>Hunting and Fishing Application</B></div> <bR> <div> <B>Please print out this page to fill out your application.</B></div> <div> <B>                                                                        </B></div> <DIV ALIGN="LEFT"></DIV> <div> <B>   Date of Application____________           </B></div> <div> <B>PowderKegg Wildlife Preserve, LLC</B></div> <div> 1390 Oakland School Road</div> <div> Cassatt, South Carolina  29032</div> <div> <B>(</B><FONT SIZE="4" COLOR="#FFFFFF" FACE="Arial" ><B>803) 432-1386 </B></FONT><B>   </B><FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial" ><B> </B><B>fax (803) 432-3581</B></FONT></div> <div> www.powderkegg.com    &    <A HREF="http://www.powderkegg.org" TARGET="_top" TITLE="http://www.powderkegg.org"><U>www.powderkegg.org</U></A></div> <div> <A HREF="http://andrewkegg@msn.com" TARGET="_top" TITLE="http://andrewkegg@msn.com"><U>Andrewkegg@msn.com</U></A></div> <bR> <div> <B>"Hunting and/or Fishing Application"</B></div> <div> between <A HREF="index.htm" TARGET="_top" TITLE="Powderkegg Wildlife Preserve, LLC."><U>Outfitter-Powderkegg</U></A> &  the Hunting Guest and/or Fishing Guest</div> <bR> <bR> <div> <B><U>Type of hunt</U></B> (circle two):     Buck Deer          Doe deer              </div> <bR> <div>                                             Overnight               Single Day non-overnight</div> <bR> <div> <B><U>Type of Fishing</U></B> (circle one):      'Catch & Release'           'Catch & Keep'   </div> <DIV ALIGN="LEFT"></DIV> <div>  </div> <div>      Hours of  Fishing<B> </B>________       Overnight?_______       Special Package________________</div> <bR> <div> # <B>of Adult Guests: ______       # of Guests Under Age 14 _____ (</B><FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial" ><B>Name</B></FONT><B>__________________)</B></div> <bR> <div> <B>Name </B>First__________________________Middle___________Last__________________________</div> <bR> <div> Address:______________________City_________________State___________Zip_________</div> <bR> <div> Phone#: Home___________________Work__________________Cell____________________</div> <bR> <div> E-mail:_________________________________Other__________________________________</div> <bR> <div> Date of Birth_____/____/____Drivers Licence #:_________________State__________________</div> <bR> <div> Dates requested for your hunting:____/____/____to____/____/____</div> <bR> <div> Dates requested for your fishing trip:____/____/____to____/____/____   Start Time___________</div> <bR> <div> <FONT SIZE="3" COLOR="#FFFFFF" FACE="Arial" ><U>Method of Payment</U></FONT> (circle one):     Cash      Check       Money Order      {Make payable to <B>PowderKegg Wildlife Preserve, LLC</B>]  </div> <bR> <div> -  <U>Hunter </U><U>Deposit </U>(non refundable except for cancellation by Outfitter):      $___________________</div> <bR> <div> -  <U>Overnight Adult Non-Hunting Guest Deposit</U> (non refundable except for cancellation by Outfitter):  $____________________</div> <bR> <bR> <div> For the total cost of fishing, see the <A HREF="id20.htm" TARGET="_top" TITLE="Fishing"><U>"Fishing"</U></A> page.</div> <bR> <div> "Waiver"</div> <div> Powderkegg (outfitter) accepts only a limited number of guests on its private deer hunts on a first come first serve basis.  Therefore, it is important that openings during the short deer season  are filled and do not go unused due to cancellations.  For this reason, the deposit for this hunt is nonrefundable if the guest cancels the hunt.  If for some reason the Outfitter cancels the hunt, the deposit will be refunded.</div> <bR> <div> PowderKegg (outfitter) accepts only a limited number of guest on its fishing special packages on a first come first serve basis.  Therefore, it is important that openings during the fish season are filled and do not go unused due to cancellations.  For this reason, the deposit for fishing special packages is nonrefundable if the guest cancels the fishing special package.  If for some reason the Outfitter cancels the fishing special package, the deposit will be refunded.</div> <bR> <div> The Outfitter reserves the right to use any photographs, video footage, hunt stories, fishing stories and names for marketing purposes, business enhancing opportunities, and/or profitable strategies for Powderkegg Wildlife Preserve.  Successful guests are required to deliver to the outfitter copies of photos of film footage taken of their deer.</div> <bR> <div> The Outfitter uses its best efforts to provide the guest with a safe and enjoyable hunt and/or fishing.  However, it is the responsibility of the guest to exercise care and judgment required to deal with the dangers and risk inherent in the sport of hunting and/or fishing.  Therefore, the guest releases and forever discharges, and for his/her heirs, executors, administrators, personal representatives, successors, and assigns to hereby release and forever discharge the Outfitter (Powderkegg Wildlife Preserve) and his or her, their and its successors and assigns, heirs and executors, administrators, personal representatives, and all other persons, firms and businesses, of any claims, demands, rights, and causes of actions fo whatsoever kind and nature, arising from, and by reason of any of all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, resulting, and the result, from the guest's hunt or fishing on the dates written in this contract.  Additionally, the guests agree to defend any or all individuals in civil court against injury, property or punitive damage cuased by the guest while hunting or fishing with the Outfitter.  If I, the guest, sue any and all individuals in civil court and win a settlement, I, the guest , relinquish all rights to receive that settlement from any of the aforementioned individuals.</div> <bR> <div> I, the guest, accept full responsibility for any injury I, the guest, may incur while hunting or fishing with Powderkegg Wildlife Preserve (Outfitter).  I, the guest, will inspect the safety of any tree stand or step before using it. I, the guest, accept full responsibility for any tree stand, ladder stand, tower stand, ground blind or other stand I use and the height in which it is at.</div> <div>  I, the guest, will take all safety precautions around all ponds and will supervise any guests accompanying me while fishing.    I, the guest, will provide all my fishing equipment  (rods, reels, tackle, buckets, bait, coolers, etc.)  and accept full responsibilty for them.</div> <bR> <div> <I>The requirements for enjoying the sports of PowderKegg Wildlife Preserve have been developed with careful consideration for the convenience of the guest and for the maintenance and protection of the Preserve's grounds and  Lodge.  We ask your cooperation in helping us maintain the Preserve.</I></div> <bR> <div> I, the guest (Client/Guest/Hunter) have read the above contract and agree to abide by statements in the waiver and to pay the balance of the total hunt before departing from the hunt property.  I, the guest (Fisherman) have read the above contract and agree to abide by statements in the waiver and to pay all  fishing fees incurred before departing from the Wildlife Preserve property.</div> <bR> <div> Guest Hunter (or Fisherman) <B>Printed Name</B></div> <bR> <div> Name____________________________________________________________________</div> <bR> <div> Guest Hunter (or Fisherman)  <B>Signature</B></div> <bR> <div> Name_____________________________________________ Date_____/_____/________</div> <bR> <div> Return Contract to:</div> <bR> <div> Powderkegg Wildlife Preserve</div> <div> 1390 Oakland School Road</div> <div> Cassatt, South Carolina 29032</div> <bR> <bR> <bR> <bR> </td> </tr></table></body>