First Name: ___________________ Last name: _____________________________

Address: ____________________________________________________________

City: ____________________________ State: _____________ Zip: _____________

Office Phone: _____________________ Home Phone: _______________________

Guest of: _____________________________________

For and in consideration of being permitted to hunt, fish, and/or visit with
Robert Steenbeke, or 1A Hunting in Texas Guide Service on any of the properties they manage, lease and/or own from the period of September 1, 2009 through August 31, 2010.

Participant hereby executes this Consent and Release to the party above, his agents, servants, employees and any other persons connected with them in said activities of Robert Steenbeke, 1A Hunting in Texas Guide Service, which voluntarily releases, discharges, waives and relinquishes any and all actions or causes of action for personal injury, property damage or wrongful death occurring to Participant arising as a result of engaging in said activity or any activities incidental thereto wherever or however the same may occur and for whatever period said activities may continue, and Participant for himself/herself, his/her heirs, executors, administrators and assigns hereby releases, waives, discharges and relinquishes any action or cause of action, aforesaid, which may hereafter arise for himself/herself and for his/her estate, and agrees that under no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute any of the parties above, or any of their agents, servants, employees and any other persons connected with said activity of Robert Steenbeke, or 1A Hunting in Texas Guide Service, whether the same shall arise by the negligence of any said persons or otherwise.

Participant also agrees for himself/herself, his/her heirs, executors, administrators and assigns, that in the event any claims for personal injury, property damage or wrongful death shall be prosecuted against Robert Steenbeke, or 1A Hunting in Texas Guide Service or any of his agents, servants, employees and other persons connected with Robert Steenbeke, or 1A Hunting in Texas Guide Service for any act or acts of Participant, he/she shall indemnify and save them harmless from any and all said claims or causes of action by whomever or wherever made or presented.

Participant acknowledges having read the foregoing paragraphs, that he/she has been fully and completely advised of the potential dangers incidental to the hunting activities, and is fully aware of the legal consequences attendant to signing/executing the Consent and Release.

____________________________     _____________      _______________________
Signature                                                Date                        Hunting license number