BAPTISTE LAKE LODGE, LTD.
REGISTRATION FORM

Arrival date: ________________

Departure date: _______________

At the undersigned, _______________, for and on behalf of himself and all the guests in his party as identified below does hereby release, waive, and forever discharge BAPTISTE LAKE LODGE, LTD., a Saskatchewan corporation, their agents, stockholders, directors, and successors, from all claims, actions, demands, rights, damages, costs, loss of service or use, expenses, compensation, and liability, including the foreseen and unforeseen bodily and personal injuries and property damage and the consequences thereof, resulting from any and all activities related to the use of the facilities at BAPTISTE LAKE LODGE, Saskatchewan.

SIGNED this __________ day of ____________, 20____.

GROUP LEADER’S SIGNATURE: ______________________________________

Please make final payment prior to travel, remit to one of the following:

Bruce Tunnicliffe 143 Steiger Cres Saskatoon, SK 27N 4K1 CANADA

Skip Erickson P.O. Box 351 Glasgow, MT 59230 USA

James Rector P.O. Box 1360 Glasgow MT 59230 USA

Alton Smith P.O. Box 28 Fort Peck, MT 59223 USA

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Baptiste Lake Lodge, Ltd.

Saskatchewan, Canada

Copyright, 2008, Baptiste Lake Lodge, Ltd.