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1528 E. Montgomery Ave., Philadelphia, PA 19125

215-543-6171 | info@ValleyToSummit.com

Participant Agreement for Minors

PARTICIPANT AGREEMENT FOR MINORS INCLUDING: A) ASSUMPTION OF RISKS AGREEMENT; B) AGREEMENTS OF RELEASE, WAIVER AND INDEMNITY; C) PHOTOGRAPH AND VIDEO RELEASE AND WAIVER AGREEMENTS; D) MEDICAL AGREEMENT AND RELATED PROVISIONS; AND, E) OTHER PROVISIONS

Please read this document carefully. Each participant receives this document and must sign and date it where indicated and return it to Valley to Summit, LLC in advance of the start date of the selected course. “Participant” includes adult and minor participants, unless otherwise indicated. If the participant is a minor (under 18 years of age in most states), at least one parent or guardian (referred to below as “Parent”) must also sign, as evidence of Parent’s acknowledgment and agreement to the following, on Parent’s behalf and on behalf of the minor student. Student and parent must determine the age of legal competency to sign contracts in the state of the student’s residence.

PLEASE NOTE: THIS DOCUMENT IS A CONTRACT WITH LEGAL AND BINDING CONSEQUENCES. THIS DOCUMENT REQUESTS THAT YOU WAIVE SUBSTANTIAL LEGAL RIGHTS THAT HAVE ARISEN OR THAT ARISE IN THE FUTURE AGAINST VALLEY TO SUMMIT, LLC AND OTHER INDIVIDUALS AND ENTITIES AS DELINEATED BELOW. VALLEY TO SUMMIT, LLC ENCOURAGES YOU TO ASK QUESTIONS ABOUT THIS DOCUMENT REGARDING ANY UNCERTAINTIES YOU MAY HAVE CONCERNING ITS CONTENT AND SUBSTANCE. YOU ARE PERMITTED TO SEEK THE LEGAL ADVICE OF YOUR OWN ATTORNEY REGARDING THIS DOCUMENT TO ENSURE THAT YOU FULLY UNDERSTAND ITS CONTENT AND SUBSTANCE.

In consideration of the services of Valley to Summit, LLC, their past, current or future agents, owners, officers, directors, trustees, staff, medical advisors, volunteers, interns, participants, co-participants, employees, contractors, vendors, sponsors, promoters, affiliates, property owners, law enforcement agencies, public entities, special districts and properties, search and rescue organizations, associations or volunteer groups, that are in any manner connected with any program of Valley to Summit, and all other persons or entities acting in any capacity on Valley to Summit’s behalf (hereinafter collectively referred to as “VTS” and/or “Released Parties”), I as natural parent and/or as the legally authorized guardian of the herein minor participant hereby voluntarily, freely and knowingly agree to assume the risks and agree to release, waive, indemnify and forever discharge VTS, on behalf of myself, my children, my parents, my heirs, assigns, personal representative(s) and estate and on behalf of the minor participant as follows:

A.ACTIVITIES, INHERENT AND OTHER RISKS

1) I understand that VTS programs live, camp and travel out of doors. Activities vary from program to program and include, among others, hiking and backpacking through mountainous and other terrain, mountaineering and climbing on rock cliffs, steep snow, ice or glaciers, whitewater kayaking, whitewater rafting and whitewater canoeing, sea kayaking, horse packing, skiing, snowboarding, fishing and caving. I further understand and acknowledge that the activities of the programs have risks, including certain risks which are inherent. Inherent risks are those which cannot be eliminated without destroying the unique character of the activities. The same elements that contribute to the unique character of these activities can cause loss or damage to equipment, accidental injury, illness, or, in extreme cases, permanent trauma, disability or death. The following describes some, but not all, of the inherent risks of VTS activities:

a) VTS activities may be strenuous, physically and emotionally.

b) VTS programs usually occur in remote places. They occur on lands open to the public, and exposed to the acts of persons not associated with VTS. The remote locations may be many days from medical facilities. Communication and transportation are difficult and evacuation and medical care may be significantly delayed.

c) Equipment may fail or malfunction.

d) Meals are prepared over gas stoves and open fires. Water may require disinfection before use. Participants with foods allergies or sensitivities may come in contact with offending food types. Camping risks include burns and cuts, sprains, strains and other injuries from slips, falls, and lifting, and illnesses including diarrhea and flu-like illness.

e) Travel is by vehicle, raft, canoe, kayak, sail and other boats, horses, aircraft, train, skis, snowboards, on foot and by other means, over improved and unimproved roads, rugged trails and off-trail terrain, including boulder fields, downed timber, rivers, rapids, river crossing, high mountain passes, snow and ice, steep slopes, slippery rocks, steep or crevassed glaciers, ocean tides, currents, waves, surf and reefs. Travel risks include collision, falling, capsizing, drowning, becoming lost, and other risks usually associated with such travel, including environmental risks.

f) Environmental risks and hazards include flowing, deep and/or cold water; insects, snakes, predators, and large animals, such as grizzly bears, black bears and bob cats; falling and rolling rocks; lightning, avalanches, flash floods, falling timber and forces of nature, including weather which may change to extreme conditions. Possible injuries and illnesses include hypothermia, frostbite, immersion foot, high altitude illnesses, sunburn, heatstroke, dehydration, and other mild or serious conditions.

g) Decisions made by VTS will be based on a variety of perceptions and evaluations, which by their nature are imprecise and subject to errors in judgment. Misjudgments may pertain to, among other things, a participant’s capabilities, environment, terrain, water and weather conditions, natural hazards, routes and medical conditions.

h) VTS participants have “free” time before, during and after their course. VTS has no responsibility for participants during their free time before, during and after their course. VTS staff may from time to time provide assistance or even accompany participants in these free time activities, but in doing so, they are acting as private individuals and not as VTS employees, partners or representatives, and VTS is not responsible for their conduct. During the course VTS cannot continually monitor the behavior and activities of participants and participants must accept responsibility for themselves and others whether or not under the direct supervision of VTS.

i) VTS may require participants to arrange for their transportation to starting locations and other locations throughout the program. This travel is not supervised by VTS and includes the use of personal vehicles and/or carpooling in vehicles not owned or controlled in any way by VTS.

j) Participants will be challenged to expand their skills and judgment.

k) VTS may from time to time use the services of private contractors for certain tasks and activities, including, for example, transportation, whitewater rafting, kayaking, canoeing, rock climbing and emergency services. VTS is not responsible for the acts or omissions of such contractors.

2. I have read and understand the general information about VTS and its trip in the VTS Participant Packet and on VTS’s website: www.ValleyToSummit.com. This information includes VTS’s Admission Policies, Statement Regarding Risk Management at VTS, Enrollment Packet, Essential Eligibility Criteria and other material provided by VTS through other means, such as, for example, electronic transmission, including but not limited to facsimile and email, describing or relating to my or the minor’s program. I acknowledge that the staff of VTS has been available to more fully explain the nature and physical demands of the activities in which I or the minor will be engaged, and the inherent and other risks, hazards and dangers associated with this course.

B. ACKNOWLEDGMENT AND EXPRESS ASSUMPTION OF INHERENT AND OTHER RISKS

I understand and acknowledge that the description of the inherent risks of VTS’s activities set forth above in the section entitled “Activities, Inherent and other Risks” is not complete and that other, including unknown or unanticipated, risks, inherent and otherwise, may result in property loss, injury, illness or death. I acknowledge that my or the minor’s participation in this VTS program is purely voluntary, and I wish to participate in spite of and with knowledge of the inherent and other risks involved. I acknowledge and knowingly, voluntarily, freely and expressly agree and promise to assume the inherent risks described above and all other inherent risks of my and the minor’s VTS activity. In addition, I knowingly, voluntarily, freely and expressly agree and promise to assume ALL risks of enrolling and participating in a VTS program, inherent or otherwise, and whether or not described above and I also make this agreement on behalf of the minor.

C.AGREEMENTS OF RELEASE, WAIVER AND INDEMNITY

1) Release Clause:I hereby RELEASE, HOLD HARMLESS, FOREVER DISCHARGE and AGREE NOT TO SUE VTS with respect to any and all claims, causes of action, and damages of whatever kind whatsoever, including, without limitation, general, special compensatory and punitive damages, for loss or damage to person or property, and for physical and/or emotional or other injury, disability, wrongful death, or otherwise, suffered by me or the minor arising in whole or in part from my or the minor’s enrollment or participation in any activity of VTS. This Release agreement includes claims, without limitation, of negligence of VTS. This release is meant to act as a complete waiver.

2) Indemnity Clause:I hereby further agree to INDEMNIFY (“indemnify” meaning to defend, and to pay or reimburse, including costs and attorney’s fees) VTS against any and all claims, causes of action, and damages of whatever kind whatsoever, including, without limitation, general, special compensatory and punitive damages, for loss or damage to person or property, and for physical and/or emotional or other injury, disability, wrongful death, or otherwise, asserted or alleged by a member of my or the minor’s family, estate, a rescuer, another participant, or any other person, personal representative or entity, arising in whole or part from any physical and/or emotional injury or other loss suffered by me or the minor or caused by me or the minor, in connection with my or the minor’s’ enrollment or participation in an activity of VTS. Moreover, should VTS or any other person or entity acting on its behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to INDEMNIFY and hold them harmless for all such fees and costs.These Indemnification agreements include claims of negligence of VTS. This release is meant to act as a complete waiver.

3) These agreements of Release and Indemnification are intended to be enforced to the fullest extent permitted by law.

D. AGREEMENTS FOR PHOTOGRAPH AND VIDEO RELEASE AND WAIVER

1) I hereby agree and grant irrevocable permission to VTS to reproduce, encode, store, copy, transmit, publish, post, broadcast, display, publically perform, adapt, edit, exhibit, create derivative works and/or otherwise use and reuse the photographs, videos and/or other images taken of myself or the minor in connection with my or the minor’s involvement with a VTS program in any media, including, without limitation, the internet, and for any and all purposes VTS deems appropriate.

2) I hereby WAIVE any right for myself and on behalf of the minor to inspect or approve the final photographs, videos and/or images, including any printed or electronic matter that may be used in conjunction with them, now and at all later times, whether that use is known or unknown to me or the minor and I hereby WAIVE any right for myself and on behalf of the minor to royalties or any other compensation arising from or related to the use of the photographs, videos and/or images. I further WAIVE any right for myself and on behalf of the minor to pursue any and all claims, in law, equity or otherwise, arising from or related to VTS’s use of the photographs, videos and/or images. Moreover, I hereby agree for myself and on behalf of the minor to defend, and hold harmless, VTS for any and all publishing and/or distributing of the photographs, videos and/or images, in whole or in part, whether on paper, via electronic media, or on the internet, from and against any and all claims, damages, or liabilities arising from or related to the use of the photographs, videos and/or images, including, but not limited to, any misuse, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced in taking, processing, reduction or production of the photographs, videos and/or images, its publication or distribution, by VTS. This Release agreement includes claims of negligence of VTS.

E.MEDICAL AGREEMENT AND RELATED PROVISIONS

1) I have verified with my and the minor’s physician and other medical professional, or otherwise satisfied VTS, that I or the minor have no past or current physical or psychological condition that might affect my participation in the VTS program, other than as described on the Health Form submitted to VTS. I and the minor are able to participate without causing harm to each of ourselves. The medical information given to VTS is accurate and all pertinent medical conditions have been disclosed. Prior to the commencement of the trip, VTS will be informed of any medical condition that has not been previously disclosed. I understand that VTS’s admission of me or the minor to the trip is not intended as a representation that VTS staff will be able to manage successfully a medical event or emergency related to a disclosed, or undisclosed, medical condition. The responsibility for determining a participant’s suitability for a trip is not VTS’s, but rather, the participant’s, guided by family, his or her physician and any other individuals. VTS reserves the right to refuse admission or remove a participant from a trip for any reason it deems in the best interests of the participant, the group and/or VTS.

2) VTS is authorized to obtain and/or provide emergency hospitalization, surgical or other medical care for me or the minor. I understand that situations may arise in which third-party medical care is not available and which require VTS staff to provide first aid and possibly more advanced procedures, employing wilderness first responder training and/or wilderness first aid training. VTS retains the right to make final decisions in connection with the medical care provided while on a trip notwithstanding the VTS Medical Advisor. Any third-party medical care provider is authorized to exchange pertinent medical information with VTS.

3) I either have adequate insurance, or in its absence, agree that all costs reasonably associated with my or the minor’s medical services, including rescue and/or evacuation, shall be borne by me. I understand that VTS does not provide health insurance, or any other form of insurance, for participants of VTS’s courses. I agree to assume the risk of any medical or physical condition I may have.

F. OTHER PROVISIONS

1) I acknowledge that VTS may find it necessary to terminate my or the minor’s VTS program and/or activity, whether due to forces of nature, medical necessities, problems in the group or other reasons that VTS, in its discretion, deems prudent. I also acknowledge that VTS may refuse or terminate the participation of any person VTS, in its sole discretion, judges to be incapable of meeting the rigors or requirements of participating in the VTS program and/or activity. I acknowledge and accept VTS’s right to take such actions with respect to me, the minor and other participants.

2) Any dispute, controversy or claim arising under, out of or relating to this contract and any subsequent amendments of this contract, including, without limitation, its formation, validity, binding effect, interpretation, performance, breach or termination, as well as non-contractual claims, such as, for example, claims of negligence, gross negligence, recklessness, between me and/or the minor and VTS shall be governed by the substantive laws (not including the law which might require or otherwise provide for the application of the laws of another jurisdiction) of the Commonwealth of Pennsylvania, and any mediation, arbitration or suite shall occur or be filed only in Philadelphia County of the Commonwealth of Pennsylvania. I agree that the place of this release agreement, its situs and forum, shall be Philadelphia County, Pennsylvania, and it is said county and state for all matters whether sounding in contract, tort or otherwise relating to the validity, construction, interpretation, and enforcement of this release agreement be determined.

3) I agree that if any portion of this agreement is found to be void or unenforceable by a court or other appropriate authority, the remaining portions of this agreement nevertheless shall remain in full force and effect.

4) This agreement may be modified only in writing and signed by both parties hereto.

5) As of the date hereof, this Agreement supersedes all previous oral and written agreements between the parties, and constitutes the only and entire understanding to exist between the parties with respect to the subject matter of this agreement, and no amendment shall be implied or proven from or evidence by negotiations between the parties heretofore or hereafter executed, unless in writing and signed by both parties hereto.

6) An electronicaly signed photocopy of this Agreement, or a record of this Agreement sent and received by facsimile, email or other electronic transmission, shall be enforceable and shall have full legal effect as an original.

BY SIGNING THIS DOCUMENT, I ACKNOWLEDGE THAT IF ANYONE IS HURT, INCLUDING MYSELF AND/OR THE MINOR OR PROPERTY IS DAMAGED DURING MY OR THE MINOR’S PARTICIPATION IN THIS ACTIVITY, I MAY BE FOUND BY A COURT OF LAW TO HAVE WAIVED MY AND THE MINOR’S RIGHT TO MAINTAIN A LAWSUIT AGAINST VTS ON THE BASIS OF ANY CLAIM FROM WHICH I HAVE RELEASED THEM HEREIN, INCLUDING CLAIMS FOR NEGLIGENCE. I ALSO ACKNOWLEDGE THAT I HAVE FULLY SATISFIED MYSELF AS TO THE NATURE OF THE ACTIVITY OR ACTIVITIES IN WHICH I AND/OR THE MINOR WILL BE PARTICIPATING, THE RISKS ASSOCIATED WITH EACH SUCH ACTIVITY, AND MY RESPONSIBILITY TO KNOW THE MINOR’S OWN LIMITS. IN THE EVENT OF ILLNESS OR INJURY, CONSENT IS HEREBY GIVEN TO PROVIDE EMERGENCY MEDICAL CARE, HOSPITALIZATION, OR OTHER TREATMENT TO ME OR THE MINOR THAT MAY BECOME NECESSARY AS DESCRIBED ABOVE AND ALL COSTS ASSOCIATED THEREWITH SHALL BE BORNE BY ME.

BY SIGNING THIS PARTICIPANT AGREEMENT INCLUDING: A) ASSUMPTION OF RISKS AGREEMENT; B) AGREEMENTS OF RELEASE, WAIVER AND INDEMNITY; C) PHOTOGRAPH AND VIDEO RELEASE AND WAIVER AGREEMENTS; D) MEDICAL AGREEMENT AND RELATED PROVISIONS; AND, E) OTHER PROVISIONS, I ACKNOWLEDGE THAT I HAVE READ IT COMPLETELY AND IN ITS ENTIRETY, FULLY UNDERSTAND IT, AGREE TO BE BOUND BY ITS TERMS AND SIGN IT FREELY, VOLUNTARILY AND KNOWINGLY WITHOUT ANY INDUCEMENT OR FORCE WHATSOEVER ON BEHALF OF MYSELF AND THE MINOR. THIS AGREEMENT SHALL BE BINDING UPON ME, MY HEIR(S), ESTATE, EXECUTOR(S) AND ADMINISTRATOR(S) OR OTHER PERSONAL REPRESENTATIVE(S).

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
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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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