Notice: If under 18 this form must be signed by participant's Parent or LEGAL Guardian ONLY. PLEASE READ THIS DOCUMENT CAREFULLY, BY SIGNING IT, YOU ARE GIVING UP LEGAL RIGHTS.
In consideration for being permitted in My Nature Lab BE ADVISED: WE ARE A HANDS ON LEARNING ENVIRONMENT. ATTENDEES MAY HOLD LIVE REPTILES AND AMPHIBIANS. Participants in off site field trips and hikes will get dirty!
MUST BE LEGAL GUARDIAN - I understand that I cannot sign for anyone for whom I am not a legal guardian. If I choose to forge another parent or adult signature, I may be held financially responsible for any medical or legal costs incurred.
ASSUMPTION OF RISK - I agree that I am and/or my child(ren) is voluntarily participating in the activities offered by Center for Snake Conservation dba My Nature Lab are including but not limited to activities that occur at the facility or during an off site field trip. The activities offered will include hiking, walking, and handling non-venomous reptiles and amphibians. These activities include inherent risks such as the possibility of slips, falls, scrapes, scratches, bruises, sprains, lacerations You accept and assume all of these inherent risks, your participation is completely voluntary, and you have elected to participate with full awareness of the risks. I understand and accept the above risks of bodily injury related to these activities.
RELEASE OF LIABILITY - In consideration of being permitted to participate in activities offered at My Nature Lab, you for yourself as a Participant or as parent or legal guardian of a minor Participant and also on behalf of your spouse, legal representatives, heirs and assigns hereby release, waive, discharge and indemnify My Nature Lab and its officers, directors, employees, volunteers, landlords, and agents and/or anyone else directly or indirectly connected with the non-profit, from any and all loss, liability, damage or cost resulting from injury to the Participant’s person or his or her property, whether caused by the negligence of My Nature Lab or its employees or otherwise, while Participant is engaged in any of the activities offered by My Nature Lab. I expressly release and discharge from any and all liability, claims, demands or causes of action whatsoever arising out of any damage, loss, personal injury or death to me and/or my child/ward while participating in any of the activities, offered at My Nature Lab. This release is valid and effective whether the damage, loss, or death is a result of any act or omission on the part of Releases or from any other cause. This Waiver and Release of all liability includes, without limitations, injuries, illness, or accidents, which may occur as a result of (a) equipment (b)instruction or supervision, or (c) slipping and falling while in the facility, on the surrounding premises, or during an off-site field trip. I understand that I voluntarily give up my right to sue the above mentioned parties.
FOLLOWING INSTRUCTIONS - The Participant must follow all instructions given by My Nature Lab employees, and the participant may not take part in any activity unless expressly approved by My Nature Lab employees.
PHOTOGRAPHY - Any photography, video, or audio taken by My Nature Lab employees at or during My Nature Lab activities or field trips will be owned by My Nature Lab and may be used for promotional use without compensation to the Participants.
SOBRIETY and CLEAN LANGUAGE - Absolutely no drug use, smoking or foul language is permitted at any time on My Nature Lab’s premises or during any other off-site activities conducted by My Nature Lab.
BROAD SCOPE - This Registration, Release and Acknowledgement of Risk is intended to be as broad and inclusive as permitted by the laws of the State of Colorado, and if any portion hereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.
Parent(s) are encouraged to participate with their children in all hands-on programs.
Parent(s) follow and ensure their children are following all Lab rules.
My Nature Lab Rules:
S – Shhhhhh. Keep your voices down
N – Never squeeze or grab an animal
A – Always ask before picking up an animal
K – Kindness and Respect for All
E - Everyone have fun!
Acknowledgment of Risk, Waiver, Release and Indemnification Relating to Coronavirus/COVID-19 and My Nature Lab Facilities and Activities
*PLEASE READ CAREFULLY BEFORE SIGNING. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.*
This document is a required supplement to the existing My Nature Lab (MNL) waiver that is in place and on file for all MNL Members.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. The virus that causes COVID-19 is spread primarily by close contact between people and through respiratory droplets when an infected person coughs or sneezes. It can also be spread through contact with contaminated surfaces.
Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.
Acknowledgment & Assumption of Risks
I, the Parent/Guardian named above of the children named above, individually and on behalf of my child, acknowledge and understand:
The contagious nature of COVID-19 and voluntarily assume the risk that my child may be exposed to or infected by COVID-19 by participation in MNL; and that such exposure or infection may result in personal injury, illness, permanent disability, or death.
The risk of becoming exposed to or infected by COVID-19 at the Program may result from the actions, omissions, or negligence of myself and others, including, but not limited to the Center for Snake Conservation (CSC) and MNL staff members, program participants, and their families.
MNL will take precautionary measures to mitigate the risk of the spread of COVID-19 including, but not limited to the following:
You cannot enter MNL if:
You are not feeling well, or
You have had a recent fever, or
You have had recent contact with someone who is sick.
You must make an appointment before visiting MNL.
Social distancing of 6 feet is required between family groups.
You must wear a mask while in MNL.
Children under 3 are not required to wear masks
You need to bring your own mask.
You should wash your hands upon arrival to the lab.
Children under 15 must be accompanied by an adult while in MNL.
You cannot enter the MNL building until your appointment time starts.
Everyone must leave immediately after their appointment is complete.
Release, Waiver of Liability, and Indemnification.
I, individually and on behalf of my child or I and anyone else named with my membership, release and agree not to sue MNL or the CSC for any and all claims that may be made by me, my child, my estate, my heirs, or my assigns for bodily injury, illness, death or damage or loss to property resulting from my or my child’s participation in the Program. In addition, I agree to indemnify, defend, and hold MNL or the CSC harmless from and against all liability, loss or damage MNL or the CSC may suffer as a result of claims which may be asserted against MNL or the CSC arising out of or resulting from my, persons named on my MNL membership, or my child’s participation in all related activities.
I understand that this agreement will be governed by the laws of the State of Colorado. I also understand that any claim relating to this agreement can be brought only in the federal and state courts located in the State of Colorado. I agree that if any portion of this agreement is ruled invalid by a court of law, the remaining provisions will continue in full legal force and effect.
I HAVE CAREFULLY READ THIS AGREEMENT AND MNL’S POLICY AND PROCEDURE DOCUMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS AND CAUSES OF ACTION FOR MY, MY CHILD’S, OR ANY PERSON NAMED IN MY MNL MEMBERSHIP INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT OCCURS IN CONNECTION WITH PERSONS NAMED IN MY LAB MEMBERSHIP PARTICIPATING IN THE MNL ACTIVITIES OR FACILITIES AND THAT IT OBLIGATES ME TO INDEMNIFY MNL OR THE CSC FOR ANY LIABILITY FOR INJURY, ILLNESS, DEATH OR PROPERTY DAMAGE CAUSED BY MY, MY CHILD’S, OR ANY PERSON NAMED IN MY LAB MEMBERSHIP INJURY NEGLIGENT OR INTENTIONAL ACT OR OMISSION.
I ALSO UNDERSTAND THAT, BY SIGNING THIS FORM, I AM GIVING UP LEGAL RIGHTS AND REMEDIES ON BEHALF OF MYSELF, MY CHILD, ANY PERSON NAMED IN MY MNL MEMBERSHIP, MY ESTATE, MY HEIRS AND MY ASSIGNS. I CONFIRM THAT I HAVE FULL AUTHORITY TO SIGN THIS RELEASE AND INDEMNIFICATION ON BEHALF OF MYSELF AND FULL AUTHORITY TO SIGN ON BEHALF OF MY CHILD, AND ANY PERSON NAMED IN MY MNL MEMBERSHIP.