SouthProng Hunt Club, Membership Form

Exceptional Turkey, Deer, and Hog Hunts

Full Name *

Email Address *

Address

City

State

Zip

Home Phone

Work Phone

Mobile Phone

Occupation

Number of Years Hunting Experience

General Hunting Season Member

Spring Gobbler Only Membership

Other

I HAVE READ THE CLUB RULES AND UNDERSTAND THAT AT THE SOLE DISCRETION OF THE PRESIDENT MY MEMBERSHIP CAN BE VOIDED FOR VIOLATIONS OF FLORIDA GAME LAWS, CLUB RULES, UNSAFE HUNTING PRACTICES OR FAILURE TO GET ALONG WITH MEMBERSHIP. *

The above signed wish to use certain lands leased by SOUTH PRONG HUNT CLUB, Flatwoods Management, LLC for recreational purposes and recognize that such lands are used primarily for the business purposes of timber production, and that the undersigned in using them might be injured or their property might be damaged, either by negligent or non- non negligent behavior of others including but not limited to SOUTH PRONG HUNT CLUB, Flatwoods Management LLC, Doug Moore personally, leasers and or the property owners. In view of these facts the undersigned for valuable consideration the subsidiaries, agents, employees, contractors, invitees, licensees, and guests, waive all claims against any of them, and agree to indemnify and hold harmless, from any and all liability hereafter arising on account of damage, injury, or death of the above signed and damage of injury to their property resulting from negligence of any person or otherwise during the use of the lands by the above signed for recreational purposes pursuant to a license of which this release and waiver of liability, indemnity and hold harmless agreement are a part. *

Initials *

Date *

What is 5 + 3? *