Student Agreement, Release and Acknowledgement of Risk, Photo Consent
In consideration of services provided by the White Pine Wilderness Academy, I agree on behalf of my children, and myself as follows:
1. I acknowledge that participation in this program entails known and unanticipated risks, which include physical injury, paralysis, death, or damage to my children, to property, or to third parties. I understand that such risks are inherent in the activity and cannot be eliminated without jeopardizing the essential qualities of the activity.
2. I understand that White Pine is not responsible for the weather, terrain, wildlife, or equipment failure and that these factors may cause or contribute to an injury or property damage.
3. I release and discharge White Pine from any and all claims or liabilities arising from or connected with my children’s participation in this program, as well as any and all claims or liabilities arising from or connected with his or her presence on the White Pine premises, or on any property owned by others where program activities are conducted. I agree, on my own behalf and on behalf of my children, not to assert or bring, at any time in the future, against White Pine, or the owner of property where program activities are conducted, any claim of any kind as a result of, or in any way arising out of or connected with, my or my children’s participation in the program. I agree to indemnify and hold White Pine and such owners harmless from any and all such claims by my children, or me or anyone else related to or associated with either of us, or anyone representing any of the foregoing.
4. I am aware of the level of fitness that is needed for this activity. I certify that my children have no medical condition or restriction that prevents them from safely participating in this program.
5. I consent on behalf of my children to be photographed/filmed while participating in this program and to use such photographs/footage for any purpose, including training, advertising and displays.
6. I understand that this release applies to me, my children and/or any children under my guardianship.
By checking the box I confirm I have read and understand the above terms and warnings and agree to be bound by these terms. I consent to the participation in these activities of my child(ren).