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My Nature Lab Educational Program Release and Waiver of Liability

My Nature Lab

Program Registration, Release, and Acknowledgment of Risk

Legal Guardian Affirmation

I affirm that I am the legal parent or guardian of the participant(s) named on this form and have full authority to sign this waiver.

Hands-On Learning & Assumption of Risk

My Nature Lab is a hands-on learning environment. Participants may handle live, non-venomous animals, including but not limited to reptiles, amphibians, insects, worms, and crayfish. While these animals are not considered medically dangerous to humans, handling any live animal carries inherent risks. These may include minor bites, scratches, skin irritation, allergic reactions, or exposure to animal waste.

In addition, program activities may take place outdoors and can include walking, running, wading through tall grass or shallow water, and exploring natural habitats. These activities also carry inherent risks, such as slips, trips, falls, insect stings, or weather-related discomfort.

I understand and voluntarily accept all such risks on behalf of my child. Participation is entirely voluntary, and I elect to allow my child to participate with full awareness of these risks.

Release of Liability and Indemnification

In consideration of my child being permitted to participate in My Nature Lab activities, I hereby release, waive, discharge, indemnify, and hold harmless My Nature Lab, its staff, volunteers, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including serious injury or death, that may be sustained by my child or to my child’s property, whether caused by negligence or otherwise, while participating in any activity connected with My Nature Lab.

Medical Consent

In the event of an emergency, I authorize My Nature Lab staff to seek medical treatment for my child, including transportation by emergency services if deemed necessary. I agree to be financially responsible for any resulting medical expenses.

Illness & Wellness Expectations

We ask families to keep children home when they are experiencing symptoms of contagious illness (such as fever, vomiting, diarrhea, persistent cough, or any illness that impacts their ability to comfortably participate). We trust families to use good judgment and appreciate everyone’s efforts to keep our community healthy and safe.

Photography, Video, and Audio Release

I understand that My Nature Lab staff may take photographs, video, or audio recordings of participants during activities. These materials are the property of My Nature Lab and may be used in print, online, or other media for educational or promotional purposes without compensation to the participant.

Governing Law and Severability

This Registration, Release, and Acknowledgment of Risk is intended to be as broad and inclusive as permitted by the laws of the State of Colorado. If any portion of this document is held to be invalid, the remaining provisions shall continue in full force and effect.


First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
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*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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*
Relationship*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Medical Information

Does the participant have any allergies or medical conditions we should be aware of (e.g., asthma, diabetes, food allergies)? If yes, please describe.

Does the participant have any disabilities, special needs, or other support needs that would help us ensure a positive and successful experience? If yes, please describe.

Is there anything else you would like us to know about your child?
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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