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Activities and Risks

The training activities conducted by Bolton Adventure Center and Charest Alpinism LLC, and the structures and premises on which they are conducted, may expose me to certain risks, and not all risks can be eliminated despite taking reasonable precautions. The course may involve rock climbing, ropes courses, games and other activities that may be physically and emotionally demanding. These activities may also expose me to unpredictable forces of nature, including exposure to heat, cold, lightning and other elements.

I recognize that it is my responsibility as a participant to follow standards, guidelines and procedures established by the staff/instructor, and all other stated and customary terms and conditions for participation. If I do not understand specific instructions at any time, I understand that it is my responsibility to ask staff members for clarification and/or assistance. Staff members of Bolton Adventure Center and Charest Alpinism LLC may at their sole discretion deny participation to me, and I may voluntarily choose not to participate in any activity at any time.  

I further recognize that I should be alert to ensure that my conduct does not pose a risk to myself or to others, and that I should also monitor my co-participants' activity and report any concerns, should they arise. If I become aware of any conditions that may pose any undue risk to me or others, I will remove myself from participation and immediately bring such conditions to the attention of Bolton Adventure Center.

Photographs may be taken during the activities, to be used for promotional material, including video presentation and brochures. I grant Bolton Adventure Center and Charest Alpinism LLC and its agents the right to use, reproduce, assign, and distribute photographs, films, videotapes, and sound recordings of me for use in any such materials they may create.


Assumption of All Risks, Release and Hold Harmless


I understand that the course program may be physically or emotionally demanding. I affirm that my health is good, and that I am not under a physician’s care for any undisclosed condition that might endanger my health or that of other participants. I recognize the inherent risks of injury or disability in the course identified above. I understand that each participant must assume the risk of physical injury that could result from any of these activities. I release Bolton Adventure Center and Charest Alpinism LLC, its owners, officers, agents and employees from all liability for any injury to me from participation in the program, and agree to hold harmless Bolton Adventure Center and Charest Alpinism LLC for any claims made against it as a result of my participation in the course.

If any portion of this agreement is deemed invalid by a Court, the balance nevertheless remains in effect and binding upon the parties. This document constitutes the entire agreement between the parties and may be amended only in writing. It shall be interpreted under Vermont law.

I HAVE READ THIS AGREEMENT, INCLUDING ITS ASSUMPTION OF RISKS, RELEASE AND HOLD HARMLESS, I FULLY UNDERSTAND IT TERMS, AND SIGN IT FREELY AND VOLUNTARILY.




First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*

For parents/guardians of minor participants (under the age of 18 at the time of registration)

As Parent/Guardian with legal responsibility for this participant, I hereby join in this agreement, including, for myself and on behalf of the minor, agreeing to the foregoing assumption of risks, release and indemnity, and additional provisions.  



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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