|
Outing: |
Date(s): |
Page of |
|
Leader: |
Assistant Leader: |
|
Sign-In Sheet & Acknowledgment of Outing Member
Responsibility, Express Assumption of Risk, and Release of Liability
I understand that during my participation in this Sierra Club Outing, I may be exposed to a variety of hazards and risks, foreseen or unforeseen, which are inherent in each Outing and cannot be eliminated without destroying the unique character of the Outing. These inherent risks include, but are not limited to, the dangers of serious personal injury, property damage, and death (“Injuries and Damages”) from exposure to the hazards of travel and the Sierra Club has not tried to contradict or minimize my understanding of these risks. I know that Injuries and Damages can occur by natural causes or activities of other persons, animals, trip members, trip leaders and assistants or third parties, either as a result of negligence or because of other reasons. I understand that risks of such Injuries and Damages are involved in adventure travel such as Sierra Club Outings and I appreciate that I may have to exercise extra care for my own person and for others around me in the face of such hazards. I further understand that on this Outing there may not be rescue or medical facilities or expertise necessary to deal with the Injuries and Damages to which I may be exposed.
In consideration for my acceptance as a participant
on this Outing, and the services and amenities to be provided by the Sierra
Club in connection with the Outing, I confirm my understanding that:
·
I have read any rules
and conditions applicable to the Outing made available to me; I will pay any
costs and fees for the Outing; and I acknowledge my participation is at the
discretion of the leader.
·
The Outing officially
begins and ends at the location(s) designated by the Sierra Club. The Outing does not include carpooling,
transportation, or transit to and from the Outing, and I am personally
responsible for all risks associated with this travel. This does not apply to transportation
provided by the Sierra Club during the Outing.
·
If I decide to leave
early and not to complete the Outing as planned, I assume all risks inherent in
my decision to leave and waive all liability against the Sierra Club arising
from that decision. Likewise, if the
leader has concluded the Outing, and I decide to go forward without the leader,
I assume all risks inherent in my decision to go forward and waive all
liability against the Sierra Club arising from that decision.
·
This Agreement is intended
to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Agreement
is held to be invalid or legally unenforceable for any reason, the remainder of
this Agreement shall not be affected thereby and shall remain valid and fully
enforceable.
·
To the fullest extent
allowed by law, I agree to WAIVE, DISCHARGE CLAIMS, AND RELEASE FROM
LIABILITY the Sierra Club, its officers, directors, employees, agents, and
leaders from any and all liability on account of, or in any way
resulting from Injuries and Damages, even if caused by negligence of the
Sierra Club its officers, directors, employees, agents, and leaders, in any way
connected with this Outing. I further
agree to HOLD HARMLESS the Sierra Club, its officers, directors,
employees, agents, and leaders from any claims, damages, injuries or losses
caused by my own negligence while a participant on the outing. I understand and intend that this assumption
of risk and release is binding upon my heirs, executors, administrators and
assigns, and includes any minors accompanying me on the Outing.
·
I have read this
document in its entirety and I freely and voluntarily assume all risks of such
Injuries and Damages and notwithstanding such risks, I agree to participate in
the Outing.
|
Name |
Signature
|
Address |
Home Phone |
Emergency Phone |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sign-In Sheet & Acknowledgment of Outing Member Responsibility, Express Assumption of Risk, and Release of Liability
I have read the attached Sign-In Sheet &
Acknowledgment of Outing Member Responsibility, Express Assumption of Risk, and
Release of Liability in its entirety and I freely and voluntarily assume
all risks of such Injuries and Damages and notwithstanding such risks, I agree
to participate in the Outing.
|
Name |
Signature
|
Address |
Home Phone |
Emergency Phone |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|