I,______________________________________, will be
participating in a backpacking,hiking, and/or camping trip with the
Northeast Ohio Backpacking Club.
I recognize and acknowledge the following:
I am of a lawful age of 18 years or older, or I will accompany a guardian of a
lawful age of 18 years or older on said activity.
I am aware of the inherent risks of bodily injury or death
associated with backpacking/hiking/camping, including those activities that
take place outdoors. I realize that those risks include, but are
not limited to, bad decision-making, exposure to extreme weather conditions,
and sleeping outdoors. I understand that there are unforeseeable unexpected
accidents, and I assume all risks associated with such accidents, even though I
cannot foresee them.
I acknowledge that backpacking/hiking/camping are dangerous
activities and voluntarily assume the risks of bodily injury and property
damage, which may be incurred as a result of participating in these activities.
I agree to assume all risks of personal injury, including, but not limited to,
paralysis and death, that may occur while I am backpacking/hiking/camping with
the Northeast Ohio Backpacking Club or while I am
backpacking/hiking/camping anywhere at any time.
I am fully aware and thoroughly informed of the hazards of
backpacking/hiking/camping; further, I have read and fully understand the
following:
Backpacking/hiking/camping are physical activities involving a large
amount of walking and physical exertion. Participants must be in good general
health, free from cardiovascular and respiratory disease, and have good
exercise tolerance. Even momentary impairment of consciousness while
backpacking/hiking/camping may be fatal.
There are other related problems that include, but are not limited
to, reduced visibility if inclement weather such as rain, lightning, wind,
snow, sleet or hail and cold temperatures occur.
The individual participant must realize that he/she is ultimately
responsible for his/her own safety. It is clearly the participant's
responsibility to refuse to participate if, in his/her judgment, conditions are
unsafe.
I affirm, to the best of my knowledge, that I am in good physical
and mental health and free from cardiovascular, respiratory or other diseases
or ailments, which could endanger myself or others while on the trip.
I understand that travel to and from the site entails risks of
bodily injury or property damage.
I should carry appropriate copies of photo identification and health
insurance identification while traveling.
In full awareness of the above and in consideration of my
participation in this trip, I waive, release and discharge any and all claims
for death, personal injury or property damage against the Northeast Ohio
Backpacking Club, or the trip organizer, accrue to me as a result
of my participation in the trip or backpacking/hiking/camping activities. I
agree to indemnify and hold harmless the Northeast Ohio Backpacking Club
from any claim or loss for death, bodily injury or property damage arising in
any manner out of my presence or activities in the course of my participation
in this trip. Furthermore, the undersigned member/guest acknowledges that the
risks outlined above are not intended to be all-inclusive and voluntarily
accepts all risks known or unknown. It is further understood and agreed that
this waiver, release, indemnity and assumption of risk is to be binding on my
heirs and assigns.
