Please, Fill this out and return to Wings North!  Thank you.

 Membership Card # _______________                                                     Season 2011 – 2012                                            

 Dear Member

We would like to welcome you to the club, and thank you for joining Wings North!

In order for us to keep you updated on current events, we would like for you to take a minute to help us update our mailing lists.  Please provide us with your billing address.  The address you would like your newsletter to come to, E-mail address and current phone numbers.  At the bottom of this form you will find a liability waiver that will cover you, as you are a member of the club.  We appreciate you taking the time to help us update our information.

Billing Address:

                      Street                                         City                                          State         Zip Code

Newsletter Address:

                      Street                                        City                                            State         Zip Code

Email Address: ______________________________________________________________________________________

Business Phone: (           )                               Home Phone: (           )                              _            .

Cell Phone: (           )                                       Pager: (           )                                      _                .

Fax: (           )                                                              .

 Member Liability Waiver

I, the undersigned, understand that there is a certain amount of danger involved in hunting and shooting activities. While engaging in hunting and shooting activities, I for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HERBY RELEASE AND HOLD HARMLESS WINGS NORTH, INC., it’s agents, servants, or employees as the owners and operators of Wings North hunting club.  Or the owner or owners of any land contained in this area (Wings North) WITH RESPECT TO ANY AND ALL INJURY, DISABILITY OR DEATH, or loss or damage to person or property.  WHETHER CAUSED BY THE NEGLIGENCE OR WINGS NORTH OR OTHERWISE; except that which is the result of gross negligence and/or intentional Misconduct.  I understand and agree that this Release of liability agreement covers each and every hunting and shooting activity and event in which I participate hereafter.  I HAVE READ THIS RELEASE OF LIABILITY AGREEMENT IN IT’S ENTIRETY, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITH OUT ANY INDUCEMENT.

Signature: __________________________________________Date: ________________________

Printed Name: _________________________________________________PERMANENT WAIVER