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ASSUMPTION OF RISK, WAIVER, AND RELEASE FROM LIABILITY

I wish to participate in the above activity (the “Activity”) at Colorado Mountain College (CMC). I voluntarily and knowingly choose to participate in this Activity despite its risks. In consideration for being permitted to participate in the Activity, I agree as follows:

1. Risks. I understand that the Activity involves various risks, hazards and dangers, including risks of physical injury, disability, or death and risk of loss of use or damage to my personal property. I also understand that injury or loss may result from unknown or unexpected risks resulting from use of equipment, materials, or facilities; from the activity itself; from travel away from CMC campuses; from environmental conditions; from the acts or omissions of others; from the unavailability of immediate emergency medical care; or from any other cause.

2. Assumption of Risks. Knowing the risks, I HEREBY ASSUME ALL RISKS that may arise out of or result from the Activity, including but not limited to the risks described above.

3. Release, Waiver, Indemnity.I HEREBY RELEASE, WAIVE, DISCHARGE, INDEMNIFY, DEFEND, HOLD HARMLESS, AND AGREE NOT TO SUE COLORADO MOUNTAIN COLLEGE, A LOCAL COLLEGE DISTRICT, ITS BOARD OF TRUSTEES, OFFICERS, INSTRUCTORS, EMPLOYEES, AGENTS, VOLUNTEERS, AND ANY STUDENTS ACTING AS LEADERS, ORGANIZERS OR EMPLOYEES, FROM , FOR, OR AGAINST ANY LIABILITY, CLAIM, DEMAND, SUIT, OR CAUSE OF ACTION OF ANY KIND, FOR ANY PROPERTY DAMAGE, LOSS OR THEFT, PERSONAL INJURY, DEATH, OR DISABILITY, OR OTHER LOSS OR EXPENSE OF ANY KIND ARISING OUT OF OR IN CONNECTION WITH THE ACTIVITY, EXCEPT ONLY FOR DAMAGE, INJURY, OR LOSS CAUSED BY THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF CMC.

4. Personal Responsibility for Safety, Policies and Procedures. I understand and agree that safety is a shared responsibility, and as a participant, I have a duty to act with reasonable caution, to be observant of unsafe conditions, to report any unsafe conditions to CMC, and to follow all CMC safety and other rules, standards, and instructions for the Activity.

5. Prerequisite Skills/Abilities. I affirm that I have the prerequisite skills, knowledge, and physical ability necessary to properly and safely participate in the Activity and to use the equipment and facilities involved in the Activity. If I have any questions or concerns about my abilities to participate in the Activity safely, I will ask CMC staff.

6. Health and Medical Insurance. I certify that I have no medical or health-related problems that would preclude or restrict my participation in this Activity. I acknowledge that I am solely responsible for any and all costs of medical treatment or evacuation costs required by me or on my behalf, I agree to pay for such medically related treatment and evacuation services, and I assume all risks of such expenses.

7. Consent for Emergency Treatment. In the event I am injured or become ill during the Activity, I authorize CMC to administer basic first aid, authorize or obtain appropriate medical care and treatment for me, to make medical decisions in my behalf, to place me in the care of a local medical doctor, or to place me in a hospital for any necessary medical treatment, all at my expense.

8. General Provisions. This Release shall be construed in accordance with the laws of Colorado.

I hereby acknowledge that I have fully read and understand this Release, and I agree to be bound by it. I realize it relates to surrendering and releasing valuable legal rights. I sign it knowingly and voluntarily and of my own free will.

I affirm that I am at least eighteen (18) years of age and fully competent to sign this Release, or if not, my parent or guardian is also signing this Release below. 

Today's date: October 2, 2023

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

CMC Student ID#:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Third Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Fourth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Fifth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Sixth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Seventh Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Eighth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Ninth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Tenth Participant's Name

First Name*

Middle Name

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

CMC Student ID#:
Parent or Guardian's Email Address

Email*

Confirm Email*
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Course / Activity Information

Course / Activity:

Instructor / Activity Coordinator:

Date(s) of Course / Activity:
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant

I am the Parent/ Guardian of Student/Participant who is under eighteen years of age and am fully competent to sign this Agreement. I give permission for Student/Participant to participate in the above-referenced Activity. I execute this release voluntarily and knowingly for full, adequate and complete consideration fully intending for myself, the Student/Participant, and for Participant’s family, estate, heirs, administrators, personal representatives, or assigns to be bound by the same.



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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

CMC Student ID#:
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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