Affidavit Form - Virginia Page 2

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Name
Address
City
St.
Zip
Phone
Auto License No.
Driver’s License No.
I hereby absolve the landowner of all liability for my person while engaged in
recreation on his property.
SPORTSMAN’S PLEDGE
In return for the privilege of using private property, I agree to:
1. Respect the landowner’s property, only go where he designates and assume
liability for my actions and my person while on this property.
2. Take every precaution against littering and fire.
3. Obey the game, fish, and other wildlife laws.
4. Observe all safety precautions and the traditions of good sportsmanship.
Hunter’s Signature:
Name
Address
City
St.
Zip
Phone
Auto License No.
Driver’s License No.
I hereby absolve the landowner of all liability for my person while engaged in
recreation on his property.
SPORTSMAN’S PLEDGE
In return for the privilege of using private property, I agree to:
1. Respect the landowner’s property, only go where he designates and assume
liability for my actions and my person while on this property.
2. Take every precaution against littering and fire.
3. Obey the game, fish, and other wildlife laws.
4. Observe all safety precautions and the traditions of good sportsmanship.
Hunter’s Signature:

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