Release Of Liability And Assumption Of Risk Agreement For Ropes Course Programs printable pdf download

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

FOR ROPES COURSE PROGRAMS

Name of Participant: _______________________________________________________ Date: ____________________

Event: Ropes Course Program

Location:

Skylark Ranch Camp, Pescadero CA

Bothin Camp, Fairfax CA

Staff Responsible: Nyssa Buning / Tori Barnes (GSNorCal)

I acknowledge that there is an inherent risk of injury in the above referenced activity or event. I hereby assume full

responsibility and risk of injury, death, property damage, any loss or liability, and any cost that may be incurred as a

result of participation in the above referenced event or activity.

I agree to indemnify and hold harmless Girl Scouts of Northern California, its employees, representatives, and agents

from any claims, actions, or liabilities (including reasonable attorney fees), for any occurrences which result in any

injury, illness, accident or harm of any kind to Participant while participating in the above referenced event or activity.

I also expressly agree to release and discharge Girl Scouts of Northern California, its employees, representatives, and

agents from any act or omission of negligence in rendering or failing to render any type of emergency or medical service.

In signing this document, I fully recognize and understand that I am giving up my right and participant’s right to make a

claim or file a lawsuit against Girl Scouts of Northern California even if they or the event operator negligently or by some

other act or omission cause injury or damage to participant.

I agree that this Release of Liability is intended to be as broad and inclusive as is permitted by the law of the State of

California and that if any portion thereof is held to be invalid, the balance of the agreement shall continue in full legal

force and effect.

As parent or legal guardian of a participant under 18 years of age, I voluntarily agree that said minor may participate in

the above referenced event or activity, and sign this release on their behalf. I understand that this is a release of all claims

that is binding on myself, my heirs, members of my family, personal representatives and assigns. I understand that I am

assuming all risk inherent in the above referenced event or activity. I voluntarily sign my name as evidence of my

acceptance of the above provisions.

I have read and understand this document.

SIGNATURE OF PARTICIPANT OR

DATE

PARENT/LEGAL GUARDIAN IF PARTICIPANT IS UNDER 18 YEARS OF AGE

I,(translator’s name)_________________________________________,hereby warrant that I read this document for

___________________________________________because she/he does not speak/understand enough English to read this document

for themselves. I further warrant that I fully and clearly explained each item on the document to the participant and that I am fluent in

the language of the participant and qualified to explain the document and understand the participant’s answers, and that I clearly and

unambiguously was told that she/he understands each item.

Release Of Liability And Assumption Of Risk Agreement For Ropes Course Programs