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RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, AND INDEMNITY AGREEMENT

THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS. READ IT CAREFULLY BEFORE SIGNING!

1.    ACTIVITY AND ASSOCIATED RISKS: I have chosen to participate in a recreational activity (hereinafter referred to as “the Activity”) with Ashley Moore Operating as Backcountry Women (hereinafter referred to as “Backcountry Women”). I understand that:

i. Backcountry Women is a not a guide service and therefore makes NO WARRANTIES, PROMISES, or GUARANTEES that the Activity is safe. I understand that Backcountry Women has not verified or approved the safety of the Activity. It is solely my responsibility to determine whether I think the Activity exposes myself to an unreasonable risk of harm or loss;
ii. Activities offered or organized by Backcountry Women such as hiking and other recreational activities are inherently dangerous activities. I may be exposed to dangers, risks, and hazards, including but not limited to:

falls, fractures, concussions, disability, drowning, and/or death; risk of injury from the Activity and equipment utilized; falling, causing broken bones, severe injuries to the head, neck and back which may result in severe impairment or even death; all "acts of nature," including but not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature and other weather conditions; risks associated with crossing, climbing or down-climbing of rock, snow and/or ice; risks associated with river crossings, fordings, or portaging; possible equipment failure and/or malfunction of my own or others' equipment, which may have been rented, borrowed, or personally owned; cold weather and heat related injuries and illness including but not limited to frostnip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration; attack by or encounter with insects, reptiles, and/or animals; accidents or illness occurring in remote places where there are no available medical facilities; fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident; diminished sense of balance, physical coordination, and ability to follow instructions; and

iii. consequences of the dangers, risks, and hazards can include injuries, disability, death, and the damage, destruction or loss of property, including but not limited to pets.
iv. hospital facilities, qualified medical care, and emergency medical evacuation may be limited or unavailable during all or portions of the activity; and
v. Backcountry Women assumes no responsibility for providing medical care during the activity, and I am solely responsible for paying for any medical care and/or evacuation costs that I and/or my family incur. Backcountry Women is not responsible for any associated costs.

2.    ASSUMPTION OF THE RISK: I voluntarily, knowingly, and expressly assume the above-mentioned risks as well as other risks not listed that are part of the Activity, and any harm, injury or loss that may occur to me or my property as a result in my participation in the Activity or during any transportation to or from the Activity—including any injury or loss caused by the negligence of Backcountry Women, its employees, volunteers, agents, and officers, its contractors, and other Activity participants. I also understand that any equipment I provide or may borrow or rent from Backcountry Women or any other providers is used at my own risk and that any such equipment is provided without any warranty about its condition or suitability. I agree the assumption of risks applies even if such risks arise from negligence or gross negligence, including any compounding or aggravating of injuries caused by negligent operations or procedures, of any and all persons associated with or participating in the Activity in any capacity.

3.    RELEASE OF LIABILITY: I hereby RELEASE Backcountry Women, its employees, volunteers, officers, and contractors, including without limiting the generality of the foregoing, Ashley Moore, and each of their respective successors, assigns, heirs, executors, estate trustees, personal representatives and legal representatives and administrators (as applicable) (all of the foregoing herein collectively called the “Releasees”) FROM ALL LIABILITIES, CAUSES OF ACTION, CLAIMS AND DEMANDS that arise in any way from any injury, death, loss or harm that occur to me or to any other person or to any property during the Activity or in any way related to the Activity, including during transportation to or from the Activity. This RELEASE includes claims for the negligence of the Releasees and claims for strict liability for abnormally dangerous activities. This RELEASE does not extend to claims excluded from being waived by law. I also agree NOT TO SUE or make a claim against the Releasees for death, injury, loss, harm, or property damage or destruction DUE TO ANY CAUSE WHATSOEVER which occur during the Activity or are related in any way to the Activity, including negligence, gross negligence, breach of contract, breach of any statutory or other duty of care owed on the part of the Releasees, Acts of God, war, government regulation, terrorism, disaster, strikes, civil disorder, curtailment of transportation facilities, or similar emergency beyond its control, making it impossible, illegal, or commercially inadvisable, or which materially affects its ability to perform its obligations.

4.    INDEMNIFICATION HOLD HARMLESS AND DEFEND: I promise to INDEMNIFY, HOLD HARMLESS AND DEFEND the Releasees (defined in Section 3) against any and all claims to which Section 3 of this agreement applies, including claims for their own negligence. I also promise to INDEMNIFY, HOLD HARMLESS AND DEFEND the Releasees against any and all claims for my own negligence, and any other claim arising from my conduct during the Activity. In accordance with these promises, I will reimburse the Releasees for any damages, reasonable settlements and defence costs, including legal fees that they incur because of any such claims made against them. I agree that in the event of my death or disability, the terms of this agreement, including the indemnification obligation in this Section, will be binding on my estate, and my personal representative, executor, administrator or guardian will be obligated to respect and enforce them.

5.    ACTIVITY HOSTS: Backcountry Women encourages other people or entities to participate by hosting events and other activities. I acknowledge that Backcountry Women has no control over and assumes no responsibility for the actions of any activity hosts at any time before, during, and after the Activity. I acknowledge that Backcountry Women has no control over and assumes no responsibility for the actions of any independent contractors providing any services for the Activity. I am aware that officers and representatives of Backcountry Women, acting as coordinators of activities, are not professional leaders, guides, or certified first aid givers. I am aware they may not have completed an outdoor leadership course or have first aid (including wilderness) training or experience in either and are not responsible for my safety or that of any person and/or pets I bring while participating in any activity.

6.    INSURANCE: Backcountry Women does not provide insurance and is not responsible for any costs to my family or myself associated with harm, including being injured or killed. I understand that I have the option to purchase my own insurance and I am solely responsible for the costs.

7.    SEVERABILITY: I agree that the purpose of this agreement is that it shall be an enforceable RELEASE OF LIABILITY AND INDEMNITY as broad and inclusive as is permitted by law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS AGREEMENT BY READING IT BEFORE SIGNING IT. NO ORAL REPRESENTATIONS, STATEMENTS OR OTHER INDUCEMENTS TO SIGN THIS RELEASE HAVE BEEN MADE APART FROM WHAT IS CONTAINED IN THIS DOCUMENT. I UNDERSTAND THIS IS A CONTRACT THAT AFFECTS MY LEGAL RIGHTS AND I SIGN IT OF MY OWN FREE WILL.

Today's Date: October 21, 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
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
In consideration of the minor child being permitted to participate in the Activity, I accept and agree to the full contents of this agreement. I certify that I have the authority to sign on behalf of the minor child and to make decisions for the minor child regarding this Activity. I also agree to RELEASE, HOLD HARMLESS, INDEMNIFY AND DEFEND the Releasees (defined in Section 3) from all liabilities and claims that arise in any way from any injury, death, loss or harm that occurs to the minor child during the Activity or in any way related to the Activity. This includes any claim of the minor and any claim arising from the negligence of the Releasees. I understand that nothing in this agreement is intended to release claims for any liabilities that governing law does not permit to be excluded by agreement.
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
USE OF MY LIKENESS RELATED TO PHOTOS AND VIDEOS: I understand that during the Activity I may be photographed or videotaped. To the fullest extent allowed by law, I waive all rights of publicity or privacy or pre-approval that I have for any such likeness of my or use of my name in connection with such likeness, and I grant to Backcountry Women and its sponsors, partners, advertisers, and assigns permission to copyright, use, and publish (including by electronic means) such likeness of me, whether in whole or part, in any form, without restrictions, and for any purpose.*
No
Yes
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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