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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 he 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 question, 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 releases, 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:.......................................... Date:....................
Signature-/Witness: ......................... Date:....................
Children
Name: ............................................... Age:
.....................
Name: ............................................... Age:
.....................
Name: ............................................... Age:
.....................
Name: ............................................... Age:
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