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Waiver of Liability, Covid-19 Safety Policy and Participant Information Form

Completion prior to participation is required.

THIS IS A LEGAL DOCUMENT. PLEASE READ CAREFULLY.


Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement:

In consideration of Girl Gotta Hike, LLC. providing Guided services and/or equipment and/or using my own equipment to enable me to participate in Guided hiking, backpacking, camping and/or other related outdoor &/or secondary activities, I voluntarily agree to the following:


1. Activities and Risks I understand and acknowledge that outdoor recreational activities have inherent risks, dangers and hazards. Participation in such activities may result in injury or illness including, but not limited to: dehydration, heat stroke, frostbite, hypothermia, skin rashes, bee stings, diseases carried by ticks and mosquitos, mental anguish or trauma from experience or injury, sprained or broken bones and falls that may result in serious injury or death.


2. Assumption of Risk By my participation in these activities, I agree and acknowledge that I am a consenting party to these activities and that I am aware of the risks of these activities. I appreciate the nature of the risks and voluntarily assume those risks.


3. Release of Liability On behalf of myself and my successors or assigns, I hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Girl Gotta Hike, LLC., its owners, agents, officers, and employees from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services or otherwise that may arise out of my participation in Guided hiking, camping, backpacking and any or all other related and/or secondary activities. I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of Girl Gotta Hike, LLC., their successors and/or assigns.


4. Permission for Photography and Videography I may be photographed or videotaped, and I irrevocably grant to Girl Gotta Hike,LLC., its successors, assigns, and licensees the exclusive right and authority to use, copyright and publish my voice, picture, name, and likeness for advertising, publicity, or promotional and other purposes in connection with Girl Gotta Hike, LLC. in any form, including and without limitation, social media outlets, newspapers, magazines, motion pictures, game programs, audio tapes, video tapes, television broadcasts and web pages. The right shall belong to Girl Gotta Hike, LLC. at all times and shall survive the termination of this document. No additional compensation shall be paid or payable to me for any right or use granted to Girl Gotta Hike, LLC. by me.

COVID-19 Safety Policy

Girl Gotta Hike is committed to ensuring the health and safety of all of our guides and event participants. Vaccination against COVID-19 is recommended for all participants. The safety policy and procedures will remain in compliance with the latest CDC recommendations.

Exposure: Individuals will be required to postpone their participation if they have recently tested positive for COVID-19 and are still within the CDC recommended quarantine period. 

Symptoms / Sickness: If any individuals or guides begin to experience flu-like symptoms while on an adventure, they will be physically distanced from the rest of the group while a determination is made how to best seek further care. Symptomatic participants will be required to wear a face mask at all times until reaching definitive care.

Hygiene, Cleaning and Disinfection: The use of shared equipment, such as tents and cooking gear will be limited. Individual hand sanitizing must occur when gear must be shared, and all gear will be sanitized between uses. 

Contact Tracing: If within 5 days of participation in a Girl Gotta Hike event, an individual tests positive for COVID-19, they must notify Girl Gotta Hike as soon as possible, so we can notify fellow participants.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Parent or Responsible Adult's Email Address

Email*
A signed copy of this waiver will be sent to the email address you provide.
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Participant's Medical Information
Have you had an allergic reaction to a bee sting? (*If yes, you MUST carry an epipen with you.)*
No
Yes
Do you suffer from Asthma? (*If yes, you MUST carry an inhaler with you.)*
No
Yes
Are you diabetic? (*If yes, you MUST carry the necessary items to monitor and maintain blood sugar levels. )*
No
Yes

Please list all allergies including foods, medications, dietary restrictions &/or any medical conditions or special needs Girl Gotta Hike, LLC. should be made aware of:

Please list all medications you are currently taking:

Parent or Responsible Adult 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.



By signing below the Parent or Responsible Adult agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Responsible Adult's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Responsible Adult's Date of Birth*
Parent or Responsible Adult's Consent and Agreement

I certify that I have reviewed all of the above terms of the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement, and the COVID-19 Safety Policy, and by signing below, I hereby consent and agree to all of the above terms.


Parent or Responsible Adult'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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