Waiver Form
Event: ________________________________________
Weather: _________________________Date: __________
Release and Assumption of Risk
I am aware that travel, whether in civilized or remote areas and whether by auto or other conveyance, or on foot, bicycle, canoe or the like, contains some inherent risks of illness, injury or death, which may be caused by negligence of others, physical exertion for which I am not prepared, consumption of alcoholic beverages, forces of nature or other agencies known or unknown. I acknowledge that the enjoyment of club activities is derived in part from the inherent risks incurred beyond the accepted safety of life at home or work and that these inherent risks contribute to such enjoyment, being a reason for my partication.
I recognize that such risks may be present before, during and after an event or activity that I participate in under the arrangements of "Outdoor Enthusiasts!" I am aware that medical services and facilities may not be readily available or accessible during some of the time in which I am participating in events or activities.
In consideration of the right to participate in events and activities, I have and do hereby fully assume all risks of illness, injury or death, and hereby release and discharge "Outdoor Enthusiasts!" and its members from all actions, claims or demands for damages resulting from participation in events and activities. I agree that the foregoing obligation shall be binding upon me personally, as well as upon my heirs, executors and administrators, and all members of my family, including any minors accompanying me.
I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and sign it of my own free will and in its entirety.
PRINT NAMESIGNATUREEMERGENCY CONTACT PHONE #
1. ______________ ______________ ________________ _________
2. ______________ ______________ ________________ _________
3. ______________ ______________ ________________ ________
4. ___________________________ ________________ ________
5. ___________________________ ________________ _______
6. ___________________________ ________________ ________
7. ___________________________ ________________ ________
8. ___________________________ ________________ ________
9. ___________________________ ________________ ________
10. __________________________ ________________ _______
11. __________________________ ________________ _______
12. __________________________ ________________ _______
If you click on a web page that requires a " pass word," just click " Back " to return to the previous page. To get " pass word," contact me, Gerry Dawson when you become a member of " Moncton Outdoor Enthusias!"
