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GEORGIA BUSHCRAFT

2022 Liability Disclaimer 

By signing this form, I am acknowledging the following applies to myself or person that may be under the age of full legal responsibility that accompanies me:

COVID-19 STATEMENT & QUESTIONAIRE

As a result of the COVID-19 pandemic, the participation in group activities in which social distancing is difficult, if not impossible, is likely to result in the increased chance of exposure to the virus, which may increase the likelihood of contracting the disease. This exposure is possible through direct contact with other people, proximity to other people, and contact with surfaces that other people have had contact with. By participating in the activities, you represent that you do not have reason to believe that you have contracted the disease, have not experienced symptoms of the disease, or have been diagnosed with the disease. By participating in this activity, you represent that you have been informed of these risks and voluntarily assume the risks of potential infection of the disease. 

I am attending this event out of my own free will and recognize the dangers that may be involved with such activities. I understand that at any time I am on this property, 1150 Carruth Rd, Watkinsville GA, it is at my own risk. My safety and wellbeing are my own responsibility. I will not hold the owner of the property or anyone involved in the organization of this event in any way liable for any injury or harm occurred to myself or person that may be under the age of full legal responsibility that accompanies me. I also understand that I am solely responsible for my actions and the property owner or anyone involved in the organization of this event cannot be held accountable for any accidents which may result in injury to me or anyone else due to my actions. At no time has the owner or anyone involved in the organization of this event made any statements as to the safety conditions of said property. It is my responsibility to familiarize myself and anyone accompanying me to any hazards which may exist on the property. The owner of the property or anyone involved in the organization of this event cannot be held responsible for the actions of others attending. By allowing their attendance, the owner or anyone involved in the organization of this event are not endorsing their safety or abilities. 

I grant to Georgia Bushcraft LLC, its representatives and employees the right to take photographs of me and my property. I authorize Georgia Bushcraft LLC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Georgia Bushcraft LLC may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I acknowledge that I have read this disclaimer of liability and know and understand its contents. This release shall be binding upon me, my heirs, legal representatives, and all assigns. I acknowledge this by my signature below. 

Campfires: All campfires must be kept in designated areas. 

Clothing and Shelter: Wear appropriate clothing for the trail conditions and season.
Always consider your surroundings when choosing a campsite. Make sure there are no dead limbs directly above or standing dead trees nearby. Ensure you are not in a wash-off zone that could flood during rainfall. Check for potential hazards. Be sure to check the site thoroughly for glass, sharp objects, branches, large ant beds, poison ivy, bees, and hazardous terrain, etc.  

Cooking: Be cautious when using a propane stove. Read the instructions that come with the stove and propane cylinder. Use the stove as a cooking appliance only - never leave it unattended while it's burning and never use a propane stove inside an enclosed space such as a tent.

First-Aid and Emergency Items: Pack a first aid kit. Your kit can prove invaluable if you or a member of your group suffers a cut, bee sting or allergic reaction. Pack antiseptics for cuts and scrapes, tweezers, insect repellent, bug spray, a snake bite kit, pain relievers, and sunscreen. We have volunteer medical professionals who will be present during the event. Look for red first-aid icon on the map for locations.

General: Travel with a companion. You don't want to be by yourself in case of an emergency. Be weather wise. Keep an eye on current and predicted weather conditions. In this area, weather can change very quickly. Know the signs for approaching storms or changing weather conditions. 

Think before you drink! No matter how clean or pure stream water looks, it's likely to contain water-borne parasites and microorganisms that can cause discomfort and sometimes serious illness. Water may contain run-off from surrounding farms. It is recommended that you pack your water in or use the camp water. Bring emergency supplies. In addition to a first aid kit, this includes: a map, compass, flashlight, knife, waterproof fire starter, personal shelter, whistle, warm clothing, high energy food, water, and insect protection. 

Hygiene: Practice good hygiene. Make sure you wash your hands, particularly after using the toilet and before handling food, to prevent everyone in your group becoming ill. 

Plant Life and Collecting: All wildlife, plant life, artifacts and any other natural or man-made features are protected and may not be disturbed or removed outside of class participation. Possession of metal detecting equipment is prohibited.  

Quiet Hours: Quiet hours are between 10 p.m. - 6 a.m and will be enforced in the Family Camping Area. Be a good campground neighbor and have consideration for other people in your surroundings. 

Trash: Please dispose of your trash properly. We will have trash containers throughout the property. 

Vehicle: Please park in designated areas. Avoid driving in the main fields or where it is not marked to drive during event hours.

Weapons: No Firearms are allowed in the camp area or classes. You are welcome to bring a firearm on site with you but please leave it in the vehicle. Bows and arrows, slingshots, fishing spears, atlatls or any similar device that discharges projectiles by any means can be shown but please ensure they are not “loaded” (no arrow on the string). Discharging of these devices outside of the specific shooting areas is prohibited. Explosives, fireworks, or any other device that explodes violently is prohibited. 

I have read and agree to abide by the rules and guidelines on the Georgia Bushcraft Event Agreement and understand that failure to do so may result in early expulsion to the weekend event without reimbursement and banned from all future events.

Today's Date: May 28, 2022

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

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's 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.
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

PLEASE TRUTHFULY ASNWER THE FOLLOWING QUESTIONS:

1. Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms?*
No
Yes
2. Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?*
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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