2015 Dove Hunt partnering with The Outdoor Dream Foundation

2015 Dove Hunt partnering with The Outdoor Dream Foundation

The Grant William Terrell Foundation is a non-profit organization supporting children and families fighting childhood cancer, illness, and other difficult life situations.  One of the ways we are supporting kids and families is by partnering with local land owners and other like minded organizations to help get these families in the outdoors.

 

Child's Name *
Child's Name
Date of Birth *
Date of Birth
An example of a difficult situation that would qualify is a sibling battling cancer has lost their battle and you are having a hard time coping, a day on the lake with your parent/s and one of Grant's Guardians could bring a much needed ray of sun light and add a little normalcy to your life.
If Life Threatening, is the child aware?
Is the request urgent?
Physical Limitations (Check all that apply)
Parent/guardian Information
Parent/Guardian's Phone *
Parent/Guardian's Phone
Parent/Guardian's Phone
Best method to contact parent/guardian for outdoor activities?
What types of outdoor activities is your child interested in?
You can also use this to list specific types of hunting or fishing your child is interested in.
Does your child currently have a hunting /fishing license?
Has your child ever taken a hunter safety course?
Does the parent or guardian have a hunting/fishing license?
Has the parent or guardian ever taken a hunter safety course?
I certify that the above is true to the best of my knowledge. (Please check to verify) *
Media Release *
Grant William Terrell Foundation Waiver of Liability
GRANT WILLIAM TERRELL FOUNDATION is a Non-Profit organization seeking to grant the Dreams of Children with life threatening illness or physical challenged children seeking to participate in hunting, fishing or camping adventures. This experience requires the execution of this comprehensive waiver as follows: Entry or Release of all claims: In consideration of my acceptance or entry in the GRANT WILLIAM TERRELL FOUNDATION program release GRANT WILLIAM TERRELL FOUNDATION and all volunteers and landowners who are connected with this Dream or Event, from any liability or claims of injury to body or property or illness that sustained during my participation in Dream or Event. I understand that this applies to myself, my personal helpers/traveling companions, heirs and assigns. I represent that I am capable of participation and acknowledge that this release is being relied upon by the above named organization in permitting me to participate. I also grant full permission to any and all foregoing to use any photography’s, recordings, or any other records of this Adventure or Event for any legitimate purpose. I agree that my successors, heirs, and assigns to hold harmless and forever indemnify the GRANT WILLIAM TERRELL FOUNDATION, its board of directors, agents/outfitters, and collaborators from any and all liability associated with any injuries sustained in association with or during the execution of the dream or event as set forth and otherwise facilitated by the Grant William Terrell Foundation.
Waiver of Liability *
I acknowledge that I have fully read and understand the Release of Liability, Medical Release, and Media Release.
Date *
Date