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CENTER FOR SNAKE CONSERVATION DBA MY NATURE LAB RELEASE AND WAIVER OF LIABILITY

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/GUARDIAN RESPONSIBILITY:

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!

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.

 

 

First Participant's Name

First Name*

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

Email*

Confirm Email*
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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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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