Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement

Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement - Hiking Page 2

CONTINUED FOR

ACTIVITY NAME:

ACTIVITY DATE(S): ___________________

__________________________________________________________

(2) Dated this ______ day of _____________________ 20 ______

Print Name & Member Number:

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY

ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS

RESULTING THEREFROM.

Signature of Participant:

Signature of Parents or Guardian if participant is Under Age of Majority:

Emergency Contact Name(s) & Phone:

Witness Name and Signature:

(3) Dated this ______ day of _____________________ 20 ______

Print Name & Member Number:

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY

ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS

RESULTING THEREFROM.

Signature of Participant:

Signature of Parents or Guardian if participant is Under Age of Majority:

Emergency Contact Name(s) & Phone:

Witness Name and Signature:

(4) Dated this ______ day of _____________________ 20 ______

Print Name & Member Number:

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY

ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS

RESULTING THEREFROM.

Signature of Participant:

Signature of Parents or Guardian if participant is Under Age of Majority:

Emergency Contact Name(s) & Phone:

Witness Name and Signature:

(5) Dated this ______ day of _____________________ 20 ______

Print Name & Member Number

I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH WILDERNESS ACTIVITIES AND I FREELY ACCEPT AND FULLY

ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS

RESULTING THEREFROM.

Signature of Participant:

Signature of Parents or Guardian if participant is Under Age of Majority:

Emergency Contact Name(s) & Phone:

Witness Name and Signature:

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Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement - Hiking Page 2