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Ellijay Wildlife Rehabilitation Sanctuary
435 Cougar Lane
Eillijay, Georgia 30540
(706) 276-2980

Student/Volunteer's Consent Release and Assumption of Risk Agreement For Wildlife Programs, Ropes/Obstacle Courses & Outdoor Educational Programs
All reasonable precautions have been taken to assure that all our programs offered are as safe as possible; however, the Low Ropes/Obstacle Courses are not without risk. As in any strenuous activity, the Low Ropes/Obstacle Courses have inherent risks and may result in serious injury or death.

You should only participate, or consent for participation after you have read the description of the ropes course activity in the camp brochure. Please note, Low Ropes/Obstacle Courses are not a required activity. If you have any questions, you should contact the Wildlife Director before participating or giving consent.

Contract of Release and Assumption of Risk Agreement
I realize that Low Ropes/Obstacle Courses have inherent risks. I knowingly accept and assume this risk and agree to release Ellijay Wildlife Rehabilitation & Sanctuary, staff and its parent organizations from any and all claims, damages, injures and expenses arising out of, or resulting from my participation in Ropes/Course activities. I further agree to release its staff, acquit and covenant not to sue said organizations for any and all actions, causes of action, claims or damages, damages in law or remedies in equity of whatever kind, including the negligence of said organization. I understand said organizations include their agents employees. All Primary Insurance is the responsibility of my school or group. I understand that all wild animals of the Rehabilitation Sanctuary belong to Mother Nature and I am obliged to be responsible in their presence.

Signature: ...........................................   Date:..........................

Date of Birth: ..............................

Parent/Guardian's Consent, Release and Assumption of Risk Agreement for
Participants Under 18 Years of Age

I, the parent/guardian, hereby give my consent for all participants under 18 years of age for whom I am legally responsible, and whose names and ages are listed below. I have read the above release and assumption of risk agreement and agree to be bound by it.
 

Signature:................................................

Signature-/Witness: ...............................
Children:
Name: ................................................
Name: ................................................
Name: ................................................
Name: ................................................
Date:....................

Date:....................

Age: ....................
Age: ....................
Age: ....................
Age: ....................

 
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