Afognak Land Use Permits

PLEASE READ: This application is for a permit to enter certain Native Corporation lands for limited duration and purposes. Please note that the permit is not a hunting or fishing license – you must obtain these from proper authorities. Permission to enter and use the permit area are conditional on your compliance with all rules and restrictions and may be revoked at any time if you fail to comply. You must at all times have this permit in your possession while on Native Corporation lands. You must also have photo identification on your person and present it to security officers upon request.
First Name   M.I.  
Last Name   Date of Birth
(MMM/DD/YYYY)
Gender   Hair Color  
Weight lb   Height '  " 
Billing Address   Billing City  
Billing State   Billing Zip  
Home Phone
(NNN-NNN-NNNN) 		  Secondary Phone
(NNN-NNN-NNNN)
Email Address   Verify Email Address  
 
Please make sure the email address you entered is correct. Receipt of your purchased permit will be sent to this email address when the transaction is complete.
Permit Type: (Elk Endorsements good during Permit Drawing season only.)
Permit Start Date (MM/DD/YYYY)
Total cost: $
Please provide complete payment information.
Credit Card Number - - - CVV Number
(3 digits on back of card) 		 
Credit Card Type   Expiration date    
All Permit Fees are NON-REFUNDABLE
TERMS AND CONDITIONS: I have read, acknowledge and understand the rules and restrictions and agree to comply with them as a condition of the grant of permit and use.
ASSUMPTION OF RISK: I IRREVOCABLY AND UNCONDITIONALLY ASSUME ALL RISKS (INCLUDING BUT NOT LIMITED TO DEATH AND BODILY INJURY) ARISING FROM OR RELATED IN ANY MANNER TO MY PRESENCE ON, USE OF OR TRAVEL TO OR FROM, AFOGNAK NATIVE CORPORATION, NATIVES OF KODIAK, OR OUZINKIE NATIVE CORPORATION LANDS, OR ARISING OR ALLEGED TO ARISE OUT OF THIS APPLICATION OR PERMIT.
INDEMNIFICATION AND RELEASE: I ON BEHALF OF MYSELF, MY HEIRS, SUCCESSORS, ASSIGNS, EXECUTORS, AGENTS AND ATTORNEYS, EMPLOYEES, AND ALL PERSONS WHO MAY CLAIM UNDER, BY OR THROUGH MYSELF, AGREES TO THE FULLEST EXTENT PERMITTED BY LAW TO RELEASE, DEFEND, INDEMNIFY AND HOLD HARMLESS AFOGNAK NATIVE CORPORATION, NATIVES OF KODIAK, OUZINKIE NATIVE CORPORATION, THEIR RESPECTIVE FORMER AND CURRENT SUBSIDIARIES, AFFILIATES, PARENTS, PARTNERS, RELATED COMPANIES OR ENTITIES, AND EACH OF THEIR RESPECTIVE FORMER AND CURRENT OWNERS, MEMBERS, SHAREHOLDERS, OFFICERS, DIRECTORS, PARTNERS, REPRESENTATIVES, AGENTS, EMPLOYEES, INSURERS AND REINSURERS, ATTORNEYS, SUCCESSORS AND ASSIGNS, BOTH INDIVIDUALLY AND IN THEIR BUSINESS CAPACITIES (“RELEASEES”), FROM AND AGAINST ALL LOSSES, DAMAGES, PROPERTY DAMAGE, INJURIES (INCLUDING, BUT NOT LIMITED TO, DEATH AND BODILY INJURY), CLAIMS, DEMANDS, AND EXPENSES, INCLUDING ATTORNEYS’ FEES AND COSTS, OF WHATEVER NATURE (“CLAIMS”), ARISING OR ALLEGED TO ARISE WHILE OR BECAUSE OF MY OR MY EMPLOYEES OR AGENTS BEING ON, USE OF, OR TRAVEL TO OR FROM AFOGNAK NATIVE CORPORATION, NATIVES OF KODIAK, OR OUZINKIE NATIVE CORPORATION LANDS, OR ARISING OR ALLEGED TO ARISE OUT OF THIS APPLICATION OR PERMIT. WITHOUT LIMITING THE FOREGOING IN ANY MANNER, THIS PARAGRAPH APPLIES TO ANY AND ALL CLAIMS ARISING OR ALLEGED TO HAVE ARISEN OUT OF OR CAUSED BY THE NEGLIGENCE OF THE RELEASEES, OTHER USERS OF THE LAND, THE CONDITION OF THE LAND OR ANY IMPROVEMENT OR PERSONAL PROPERTY ON THE LAND, OR ANY OTHER CAUSE.
  By checking this box, I verify that the information I provided above is accurate, and that I have read, understand and agree to all the Terms and Conditions above and agree to comply with all rules and restrictions.