I,__________________________ , am a member and participate in the group/club known as Nature Coast Anglers, which engages in sport fishing and other recreational outings. For and in consideration of the reciprocal release of other members of Nature Coast Anglers to me and for One Dollar ($1.00) paid to me by Nature Cost Anglers and for other good and valuable consideration to me, including my right to participate in the activities of Nature Coast Anglers, I, the undersigned, for and on behalf of myself and my heirs, successors, and assigns, assume sole and exclusive liability and release Nature Cost Anglers and its members and participants ("Released Parties") from liability for any damage to my person or property that I may incur as a result of or in the course of any activities of Nature Coast Anglers.

It is specifically understood and agreed that this Liability Acknowledgement and Waiver Of Claims includes, but is not limited to, any and all claims, which I may have against the Released Parties, or any of them, whether such claims are based upon tort, contract, common law, and/or statutory law.

I agree not to institute or assist others in instituting any action against Released Parties for or because of any incident or event occurring prior to the date of this Liability Acknowledgement and Waiver Of Claims.

I declare that I have fully read the foregoing Liability Acknowledgement and Waiver Of Claims in its entirety and that I have been fully advised by my attorney or have had an opportunity to receive advice from an attorney, prior to executing this Liability Acknowledgement and Waiver Of Claims, and that I know and understand the contents hereof and have signed the same as my own free, intelligent, and voluntary act.

Signature:____________________________________

Print Name:___________________________________

Witnessed by:_________________________________

Date:_______________________