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Join us for our fun and educational 3rd Saturday Adventure Hikes! No RSVP required, but to save time before the hike, we ask that you sign a waiver online ahead of time. Our hikes take place on the 3rd Saturday each month in a different location paired with an outdoor education theme. More info about time/locations: upadowna.org/events

*Participants are only required to fill out a waiver once a year. No need to fill one out for each hike!

I understand that during my participation in this UpaDowna Adventure, I may be exposed to a variety of hazards and risks, foreseen or unforeseen, which are inherent in each Adventure and cannot be eliminated without destroying the unique character of the Adventure. 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 UpaDowna 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 UpaDowna Adventures 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 Adventure 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 Adventure, and the services and amenities to be provided by UpaDowna in connection with the Adventure, I confirm my understanding that:

  • I have read any rules and conditions applicable to the Adventure made available to me; I will pay any costs and fees for the Adventure; and I acknowledge my participation is at the discretion of the leader.
  • The Adventure officially begins and ends at the location(s) designated by UpaDowna. The Adventure does not include carpooling, transportation, or transit to and from the Adventure, and I am personally responsible for all risks associated with this travel.
  • If I decide to leave early and not to complete the Adventure as planned, I assume all risks inherent in my decision to leave and waive all liability against UpaDowna arising from that decision. Likewise, if the leader has concluded the Adventure, 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 UpaDowna 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 UpaDowna, 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 UpaDowna its officers, directors, employees, agents, and leaders, in any way connected with this Adventure. I further agree to HOLD HARMLESS UpaDowna, 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 Adventure.
  • 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 Adventure.
     
  • If you have a minor (under age 18), the parent or legal guardian must sign this Agreement on their behalf. I hereby agree and consent to the foregoing Agreement on behalf of the minor below.
     
  • Photo release: Unless otherwise stated below, I allow UpaDowna to use photos I may appear in.

Date Signed: June 16, 2019

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive UpaDowna's Monthly Newsletter
The following questions help UpaDowna apply for and receive grants and funding as a 501(c)3 nonprofit. Please consider filling out the following to help us. Your personal information will remain private unless you give us permission to share it.

Zip code

Gender

Age

Feel free to share any goals, or obstacles you hope to overcome by attending our outdoor programs. This info will remain private, unless otherwise stated by you.
Help us learn more about how to reach additional participants:
How did you hear about this event? *
Facebook
UpaDowna.org
Word of mouth
Other

If other, please list here:
Have you been to other UpaDowna events?*
No
Yes

If so, which one?
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Check here if you wish to not appear in, or allow your minor to appear in photos used by UpaDowna.
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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