Risk Form
Page 1 of 2 (please read entire waiver)
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ADVENTURES FOR WOMEN |
Waiver of Liability and Assumption of Risk
Although Adventures for Women (AFW), its Trustees and volunteer hike leaders have taken reasonable steps to advise you of appropriate equipment, provide you with training, and provide skilled guides so you can enjoy wilderness hiking, kayaking, canoeing, biking and cross country skiing, we wish to remind you that these activities are not without risk. Certain risks cannot be eliminated without destroying the unique character of these activities. The same elements that contribute to the unique character of these activities can cause loss or damage to your equipment, or accidental injury, illness or, in extreme cases, permanent trauma or death. The following are some but not all of those risks:
- Accidental injury due to boat/canoe/kayak capsizing.
- Accidental injury due to slips and falls.
- Accidental injury and/or property damage due to varied terrain and possible extremes in the weather.
I, the participant, am aware that Adventures for Women activities entail risks of personal injury, property damage, and death to myself. I understand that the description of these risks is not complete. I certify that I am qualified, in good health, and in proper physical condition to participate in these activities and agree to assume responsibility for the risks, known and unknown, to myself (and my minor children, if participating). My participation is voluntary and I elect to participate in spite of the risks. I further agree that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation.
In the event that I have any pre-existing physical disability, and, despite same, I choose to participate in AFW activities, I understand and acknowledge that my disability may create and/or increase risks associated with the activities and I assume full responsibility for, and waive and release all claims of liability for injuries or damages resulting in full or in part, from said risks. I further acknowledge that the AFW hike leaders and other participants have no special training regarding my disability.
I hereby release the trustees, officers, members, volunteers, and hike leaders of AFW, as well as other participants and owners/lessors of premises on which activities take place, from all liability and claims on my account caused or alleged to be caused in whole or in part by any negligence in running of the activities and/or the administration of first aid/medical assistance, rescue operations or “good samaritan” efforts made by any of those mentioned above. This is binding on my heirs and me.
Please sign page 1 and initial page 2.
Participant's Name (printed) ___________________________________________________
Date _____/_____/_____ Signature __________________________________________
Address __________________________________________________________________
_________________________________________________________________________
Revised August 2020
Risk Form
Page 2 of 2 (please read entire waiver)
COVID-19 Addendum
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Adventures For Women (AFW) has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that AFW cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to the AFW Coordinator (event/hike leader).
I voluntarily seek activities and events provided by AFW and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my event.
I attest that:
- I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
- I have not traveled internationally within the last 14 days.
- I have not traveled to a highly impacted area within the United States of America in the last 14 days.
- I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
- I will notify AFW immediately if I find out I have been exposed (within 14 days of the AFW event I attended) to someone with a suspected and/or confirmed case of the Coro-navirus/ COVID-19.
- I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
- I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold AFW harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, de-mands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of AFW, or that may otherwise arise in any way in connection with any services received from AFW. I understand that this release discharges AFW from any liability or claim that I, my heirs, or any personal representatives may have against AFW with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from AFW. This liability waiver and release extends to the AFW Board of Trustees, Coordinators and Volunteers.
______________ Please initial you have read this page
Revised August 2020