Mainebound Course Release And Assumption Of Risk Form (Page 2 of 2) in pdf

This “Release and Assumption of Risk” shall be construed and interpreted

pursuant to the laws of the State of Maine, and if any portion thereof is held invalid, void,

unenforceable or illegal, the remainder shall continue in full force and effect.

I understand that if I cancel my registration prior to the registration deadline, I am

subject to an administrative fee or the cost of the course, whichever is less. Exceptions

noted/initialed here:

I declare that I completely understand and have fully informed myself of the terms and

conditions of this “Release and Assumption of Risk” by having read it, or having it read

to me, before signing and I intend to be fully bound thereby:

Assented and agreed to on this _____________day of___________________, 20____.

_______________________________________________________________________

Signature of Participant

I, _____________________________________________________________________,

the parent or legal guardian of ______________________________________________,

Agree, in consideration of my child being permitted to participate in the Program, to be

bound by the terms of this Release and Assumption of Risk and hereby indemnify, hold

harmless and release the University, its Trustees, faculty, employees, volunteers and

agents, in the same manner and with the same force and effect as set forth in section 3

above with regard to my child participating in the Program.

________________________________________________________________________

Parent or Guardian Signature (if participant under the age of 18 years)

*Such dangers, hazards and risks of the Program may include, but are not limited to,

injuries inflicted by the following:

all manner of injury resulting from travel over rough terrain, encountering extreme temperatures ,

insects and wild animalsabrasions, entanglements, and other injuries resulting from activities

within the including but not limited to climbing, rappelling, ascending, descending, bouldering,

kayaking, skiing, ice climbing, mountaineering and participation in ropes course

elementsinjuries resulting from falling or dropped items including but not limited to ropes, ice,

rocks, climbing hardware, climbing holds/hardware, chalk, chalk bags, personal items, and other

climbers or participants cuts, abrasions, and burns resulting from contact with rocks, ice and

trees  failure of equipment, skies, bindings, ropes, slings, harnesses, climbing hardware, anchor

points, stoves and personal floatation devices injuries caused through inappropriate technique or

overuse including but not limited to tendonitis, strains, sprains, abrasions, bruises, dislocations,

joint swelling, muscle aches, and fractures  harm and injury, including death, shortness of

breath, and light headedness, resulting from increased heart rate, increased blood pressure, and

strenuous physical activityharm and injury from vehicle and plane travelharm and injury from

travel to remote and underdeveloped places including but not limited to political unrest, travel in

substandard vehicles and the eating of food prepared in unsanitary conditions.

Mainebound Course Release And Assumption Of Risk Form Page 2