THIS IS A RELEASE OF LIABILITY. PLEASE READ BEFORE SIGNING. DO NOT SIGN OR INITIAL THE RELEASE IF YOU DO NOT UNDERSTAND OR DO NOT AGREE WITH ITS TERMS
1.) I/we have asked to participate in a retreat at Sonrise Mountain Ranch (SMR). I/we understand the following:
• SMR is located at a high elevation in a remote mountain setting;
• SMR is without medical facilities and immediate medical care may be unavailable for accidents or illness;
• The retreat may include various activities including but not limited to activities near a reservoir, pond or river; activities in the snow such as sledding, skiing or snow-shoeing; hiking; riding ATVs; horseback riding; rafting; rock climbing; tubing; and water rafting (“Activities”);
• Some Activities (such as water rafting, skiing and horseback riding) may be conducted, facilitated or provided by companies or persons other than SMR; and
• The retreat and Activities involve many risks (including but not limited to falling, equipment failure, encounters with manmade and natural obstacles or conditions, encounters with wildlife and animals, exposure to inclement weather, illness, drowning and other similar and dissimilar risks) and that these risks could result in personal injury, property damage and death
2.) I/we understand that the retreat and Activities can be strenuous, and may pose increased risks for persons with heart or cardiovascular ailments or other illnesses or conditions
3.) I/we understand that participation in any Activities in or near water (both on and off of SMR property) is done at my/our own risk. A minor may only participate in Activities in or near water if supervised by a staff member, legal parent or guardian. I/we understand that even under supervision an adult or minor may suffer injury or death.
4.) I/we assume all risks of personal injury, death and property damage including the ones set forth in paragraphs 1 through 3 above, which may result from my/our participation and my/our minor children’s participation in the retreat and any associated Activities, on my/our behalf and on behalf of my/our minor children or wards. I/we also waive any claims based on negligence or breach of warranty that I/we or my/our minor children or wards might assert on my/our own behalf or on the behalf of my/our minor children or wards against SMR, its owners, board, agents, volunteers, guests, and employees for personal injuries, death, and/or property damage sustained while participating in the retreat or any Activities.
5.) I/we further agree on my/our own behalf and on behalf of my/our minor children to hold SMR, its owners, board, agents, volunteers, guests and employees harmless and to indemnify them for any personal injuries (including personal injuries to others) and property damage which results from my/our own participation or my/our minor children’s participation in a retreat or any Activities.
6.) I/we understand that the signature of the parent or guardian of a minor child on this form shall make all provisions of this release and agreement applicable to and binding on the minor child. I/we certify that I/we are/am the sole parent(s) and/or legal guardian(s) of the minor children listed below.
7.) I/we agree that any claim or dispute, including but not limited to claims or disputes arising from or related to this agreement, shall be settled by biblically-based mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker® Ministries (complete text of the Rules is available at www.Peacemaker.net). Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction.
8.) This agreement shall be legally binding upon my/our heirs, assigns, legal guardians, personal representatives, and me/us. I/we have carefully read this Informed Consent and Liabilty Release Form and understand its contents. I/we am/are aware that I/we am/are releasing certain legal rights that I/we otherwise may have and I/we enter into this agreement on behalf of myself/our selves, and/or my/our minor children of my/our own free will.
SIGNATURE(S) ON BEHALF OF ADULT(S) AND PARTICIPATING MINOR CHILDREN
Date Format: MM slash DD slash YYYY
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