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WAIVER AND RELEASE

What you are about to read and are requested to sign is a waiver and release of liability. Upon signing it, you will give up your right to sue The Bronze Chapter (“TBC”) or anyone associated with TBC for injuries or losses you suffer while participating in activities or programs administered by TBC.

Please take your time and read this agreement very carefully. When you are certain that you understand the importance of each paragraph, check each I Agree box. Sign the document only after you have read and understood everything.

YOU WILL NOT BE ALLOWED TO PARTICIPATE IN ANY ACTIVITIES WITHOUT THE SIGNED WAIVER.

I UNDERSTAND THAT SIGNING THIS DOCUMENT WILL PREVENT ME, MY HEIRS, EXECUTORS, DEPENDENTS, BENEFICIARIES AND ASSIGNS FROM SUING TBC, ITS OFFICERS, DIRECTORS, STAFF, VOLUNTEERS, OR ADVISORS FOR ANY INJURIES, INCLUDING DEATH OR DAMAGES THAT I MIGHT RECEIVE WHILE PARTICIPATING IN ACTIVITIES OR PROGRAMS ADMINISTERED BY TBC.

1. I ASSUME ALL RISKS.
I recognize the risk of serious injury, death, or other damages inherent in participating in outdoor activities. There is no way to completely eliminate the risk of serious injury or death in outdoor spaces. I understand that any instruction or knowledge I obtain is NOT sufficient to prevent the dangers and risks of outdoor activities. I CERTIFY THAT I UNDERSTAND THE RISK OF SERIOUS INJURY, DEATH, OR OTHER DAMAGES INHERENT IN OUTDOOR ACTIVITIES. I KNOWINGLY AND VOLUNTARILY ASSUME ALL RISKS, WHETHER KNOWN OR UNKNOWN, OF INJURY, ILLNESS (INCLUDING COMMUNICABLE DISEASES SUCH AS COVID-19), DEATH, OR DAMAGE OF WHATEVER KIND ARISING OUT OF MY PARTICIPATING IN ANY ACTIVITY ADMINISTERED BY TBC.

I Agree

2. I WAIVE AND RELEASE ALL CLAIMS.
I recognize that TBC could not offer this activity to me without obtaining a release of liability. In consideration of the agreement of TBC to offer outdoor activities and outdoor education to me, I AGREE TO RELEASE TBC OR ANYONE ASSOCIATED WITH TBC, INCLUDING WITHOUT LIMITATION ITS OFFICERS, DIRECTORS, STAFF, VOLUNTEERS, AND ADVISORS FROM ALL LIABILITY, AND KNOWINGLY, INTENTIONALLY, AND VOLUNTARILY WAIVE ALL CLAIMS, DEMANDS, OR CAUSES OF ACTION OF ANY KIND WHATSOEVER INCLUDING, BUT NOT LIMITED TO, ANY CLAIMS OF NEGLIGENCE WHICH MAY ARISE AS A RESULT OF MY PARTICIPATION IN A TBC ADMINISTERED ACTIVITY.

I Agree

3. I WILL HOLD HARMLESS AND INDEMNIFY TBC.
In consideration of the agreement of TBC to offer services to me, I agree to defend, protect, indemnify, and hold harmless TBC, its officers, directors, employees, volunteers, and advisors from and against any and all claims, suits, actions at law or in equity, for damages or other relief and against any liability or any nature that may arise out of my participation in outdoor activities. I EXPRESSLY AGREE NOT TO SUE THE BRONZE CHAPTER OR ANYONE ASSOCIATED WITH TBC, INCLUDING WITHOUT LIMITATION ITS OFFICERS, DIRECTORS, STAFF, VOLUNTEERS, AND ADVISORS FROM AND HEREBY WAIVE ALL CLAIMS AND LIABILITIES AGAINST TBC AND THOSE PARTIES, WITHOUT LIMITATION, INCLUDING CLAIMS FOR NEGLIGENCE ARISING FROM MY PARTICIPATION IN A TBC ADMINISTERED ACTIVITY.

I Agree

4. I AGREE TO ABIDE BY ALL TBC RULES.
I agree to abide by all TBC rules contained in written form as well as verbal directions that may be given by TBC staff, volunteers, or instructors, including any and all COVID-19 related safety measures required by TBC.

I Agree

5. OTHER PROVISIONS.

  • I acknowledge that this agreement between myself and TBC will remain in effect indefinitely or until such time as an underaged participant turns eighteen (18) years of age.
  • I authorize the program organizers and/or their employees to sanction emergency treatment.
  • I permit The Bronze Chapter to use photos and quotes of any participants in its publications.

I Agree

Severability: If any provision of this agreement or its application to any person or circumstance is held invalid or void, the remainder of the agreement and its application to other persons or circumstances is not affected and remains in full force and effect.

I AM FULLY AWARE OF THE CONTENTS OF THIS AGREEMENT AND RELEASE, AND HAVE READ AND UNDERSTAND ALL OF THE TERMS. THE TERMS OF THIS AGREEMENT BIND ME, MY FAMILY (INCLUDING BUT NOT LIMITED TO SPOUSES AND DOMESTIC PARTNERS), HEIRS, EXECUTORS, ADMINISTRATORS, DEPENDENTS, BENEFICIARIES, AND ASSIGNS. I recognize that if I have any questions regarding my waiver of rights, I should consult an attorney.

I Agree

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this Activity.

I understand that at this Activity, I may be photographed.  I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and assigns.

This Waiver and Release shall be construed broadly to provide a waiver and release to the maximum extent permissible under applicable law.

I certify that I have read this document and I fully understand its content.  I am aware that this is a release of liability and a contract and I sign it of my own free will.

June 2, 2023

 

First Participant's Name

First Name*

Middle Name

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

Age
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Age
Third Participant's Name

First Name*

Middle Name

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

Age
Fourth Participant's Name

First Name*

Middle Name

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

Age
Fifth Participant's Name

First Name*

Middle Name

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

Age
Sixth Participant's Name

First Name*

Middle Name

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

Age
Seventh Participant's Name

First Name*

Middle Name

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

Age
Eighth Participant's Name

First Name*

Middle Name

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

Age
Ninth Participant's Name

First Name*

Middle Name

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

Age
Tenth Participant's Name

First Name*

Middle Name

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

Age
Parent or Guardian's Email Address

Email*

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

Middle 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

Age
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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