Loading...

The Courage Project

Welcome to The Courage Project Registration 

Please read the information below carefully. 

All adventures are free and are made possible by the generous donations of time, skill and equipment of our amazing sponsors and volunteers. In order to make our adventures accessible to as many children as possible, we ask that you abide by the following terms and conditions of our financial and cancellation policies. 

  • Please only register for events that you are confident you can attend.
  • A credit card deposit is required to secure your reservation.
  • If you are deemed ineligible for participation for any reason your deposit will be refunded.
  • After you attend an adventure, your deposit will be refunded within 7 business days of participation.
  • If you need to cancel your reservation for any reason, we require 7 days notice. • If you cancel less than 7 days prior to an event, you will not receive a refund. • If you are not present for an adventure for which you have registered and you have not provided notice of cancellation 7 days in advance, your deposit will not be refunded and you will be precluded from participation in future events. 

ACCIDENT WAIVER & RELEASE OF LIABILITY FORM (PARTICIPANT) 

In consideration for participating in The Courage Project programs, related events, activities, I and/or the minor participant for who I am the parent and/or guardian, on behalf of myself and/or minor participants, heirs, assignees, agents, attorneys, predecessors, successors, personal representatives or next of kin ("Releasor"), have read and understood this Waiver and Release and hereby acknowledge and provide my legal consent to the following: 

1. I, Acknowledge and fully understand that I and/or the minor participant, will be engaging in yoga, paddle board yoga, hiking, paddling, climbing, snowshoeing, snowboarding, snow skiing or any other activity during participation in the Releasee's programs and that these activities carry with them the inherent risk of serious injury, including permanent disability and death, from which severe economic loss may result not only from my own actions and/or interactions with The Courage Project volunteers and/or others, the condition of the premises or any equipment that may be used. Because participating in such activities carries associated risks due to unpredictable conditions in an ever changing and potentially dangerous environment, I hereby waive, release, discharge, indemnify, and hold harmless any claims of liability, damages, causes of actions, suits, proceedings, compensation, attorney's fees, costs and expenses and demands against The Courage Project, its affiliates, representative administrators, directors, agents, or employees, other participants, volunteers, sponsoring agencies, sponsors, advertisers, their heirs and if applicable, their owners and lessors of premises used to conduct the activities, all of which are hereinafter referred to as "Releasees," for risks or events foreseeable, unknown or otherwise unforeseeable to me at this time. 

2. I AND/OR THE MINOR PARTICIPANT ARE VOLUNTARILY PARTICIPATING IN THE ACTIVITIES AND ASSUME ALL THE FOREGOING RISKS AND ACCEPT PERSONAL RESPONSIBILITY FOR THE DAMAGES, COSTS AND EXPENSES FOLLOWING SUCH SERIOUS INJURY, PERMANENT DISABILITY OR DEATH, INCLUDING ECONOMIC DAMAGE OR COST. RELEASOR ASSUMES ALL RISKS RELATED TO THE ACTIVITIES AND ACKNOWLEDGES THAT THE PARTICIPANT HAS NOT BEEN ADVISED AGAINS PARTICIPATION BYANYTHIRD PARYAN IS IN THE PHYSICAL CONDITION TO PARTICIPATE. IT IS PARTICIPANT'S (OR MINOR'S GUARDIAN'S) RESPONSIBILITYTO DETERMINE THE ABILITY OF THE PARTICIPANT TO PARTICIPATE IN THE ACTIVITIES. 

3. Having read and understood this Waiver and Release, and knowing the above facts, I and/or the minor participant, for ourselves and anyone entitled to act on behalf of ourselves, release, waive, discharge and covenant not to sue The Courage Project and the other Releasees, from present and future demands, claims, losses or damages of any kind, known or unknown, including injury, death or damage to property, even if caused or alleged to be caused in whole or in part by the negligence or fault of the Releasees or otherwise. 

4. I understand that The Courage Project and/or the other Releasees want to take photographs of me and use and reuse these photographs as The Courage Project deems appropriate in its sole discretion. Accordingly, I hereby grant to The Courage Project the unrestricted right to utilize any photographs or images in whole or in part, in any manner, for any purpose and in any medium now known or hereinafter invented. This right includes, but is not limited to, the right to publish, copy, distribute, alter and publicly display these photographs for editorial, trade or advertising purposes. I understand that I will not receive any money for any use described above and I hereby waive any financial claim or rights pursuant to any such use. I further waive any right to inspect or approve of the exact nature and use of the photographs. I release and discharge The Courage Project from any and all claims and demands arising out of or in connection with any use of the images described above, including any and all claims for libel, defamation and invasion of privacy and/or publicity, and from any and all claims and demands arising by virtue of any blurring, distortion, alteration, optical illusion or digital enhancement, whether intentional or otherwise, that may occur or be produced in the publication of the images. I realize I cannot withdraw my consent after I sign this form, and I realize this form is binding on me and my heirs, legal representatives and assigns. 

5. I understand that the Releasee's programs do not constitute the practice of psychology, medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/ patient relationship is formed by the provision of these programs. 

6. At registration you will be asked to rate your child's overall health and activity level. This information will enable Releasees to learn more about the participants. At one month and one year after participation in programs, Releasees will request additional information and feedback. This information is important, as it will help Releasees complete analysis on program effectiveness. Releasees shall not use any personally identifiable information in any reports or publications that may result from this information. Notwithstanding the above, you acknowledge that the validity of the opinions expressed and analysis done by Releasees depend on a variety of factors, including without limitation, the accuracy and completeness of the information. You acknowledge and understand that nothing in the analysis or reporting shall be construed as a promise or guarantee about the results of the programming. Further, you acknowledge that the reports and analysis are expressions of opinion only. 

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE NOT CHANGED IT ORALLY, AND SIGN IT VOLUNTARILY. 

Today's Date: May 8, 2021

 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
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:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to subscribe to our Newsletter!
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
FOR PARTICIPANTS UNDER THE AGE OF 18 OR OTHERWISE REQUIRING THE CONSENT OF A PARENT/GUARDIAN This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and understood the above Waiver and Release and do consent and agree to his/her release as provided above of the Releasees, and, for myself, my heirs, assignees, personal representatives and next of kin, I release and agree to indemnify, defend and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM RELEASEES NEGLIGENCE OR FAULT.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!