Release Statement My signature below indicates that I acknowledge the fact that working in the area of the lakes can be a hazardous activity, and that I accept the risks associated with this work. Furthermore, I do hereby release and hold harmless AdoptaShore.com from any and all liability for injury to my person, damage to my property, or death, whether or not such liability is based upon allegations of negligence. This statement shall continue in force until such time as I revoke it. Signature: _____________________________________ Name: __________________________________________ County:_________________________________________ Date: __________________________________________ Mail to Adoptashore.com 117 Crockett Cem. RD Jamestown TN 38556