Nature’s Tracks/EcoYoga Adventures
Participant Agreement Form Release of Liability, Waiver of Claims and Assumption of Risks
Please read carefully. By signing this form you will waive certain legal rights. If you have any questions or concerns regarding the statements below, please discuss them with staff before signing.
Participant’s Name:____________________________________________________
Definition – In this agreement, the terms "Forest Play" or "Program" refer to a wide range of outdoor activities that may include any combination of the following: active games, camp craft, day hiking in mountainous terrain in all seasons, group initiative activities,
(e.g. cooking, carrying wood/water, wood carving), and other outdoor activities carried out in natural areas. I am aware that there are certain risks inherent in my child’s participation in these activities some of which include:
· Weather. Extreme weather conditions (including storms and lightening) or sudden changes may be experienced
· The possibility of becoming separated from staff and other participants
· Steep, uneven, slippery or otherwise hazardous terrain. Slips and falls contribute to many outdoor accidents.
· Dangerous animal encounters (including bears and cougars), insects and poisonous plants,
· Water. Rivers and lakes have many hazards which can include rapid level changes, cold or fast moving water, man-made and natural objects in the water, rapids, high waves and thin ice.
· Falling objects encountered while in mountainous and forested terrain, including tree fall & rock fall.
· The conduct of other participants
· The conduct of other participants
I acknowledge that although the program may take precautions to reduce the risks and increase the safety of activities, all dangers and risks cannot be foreseen or managed. I understand and voluntarily accept without limitation, all risks, including the possibility of loss of property, unforeseen expenses, personal injury (including death) associated with my participation in the program. I acknowledge that the value of the Forest Play program derives in part from activities carried out in natural areas and that the inherent risks of such activities contribute to their value.
I authorize program staff to obtain and provide such medical advice and services as they deem necessary for the my health I accept financial responsibility for all medical costs which exceed coverage provided by my health care plan.
I waive all and any claims that I may have, and release from all liability and agree not to sue Program employees, directors, independent or sub-contractors and volunteers (collectively the "Personnel") for any loss, property damage, expense, personal injury (including death) that may result from my participation in the Program.
I agree to hold harmless and indemnify the Program and its Personnel for all and any loss, damage, expense or personal injury (including death) experienced as a result of my decision to enroll in the program.
I have carefully read and understand this form.