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Into the Woods Alaska

Release of Liability & Program Policies Form


Into the Woods Alaska

An Alaskan Outdoor Science Education Initiative

Liability Waiver and Program Policies Form for Into the Woods Alaska Outdoor Science Programs 

Last updated: March 10, 2022 

For the purposes of this document, “the named participant” refers to the adult age 18 or older who is participating in any Into the Woods, LLC program, and “the parent/legal guardian of the minor participant” refers to the parent of legal guardian of the participant in any Into the Woods, LLC program, for whom they are legally responsible.


Section A: Outdoor Science Programs and Expedition Policies

Section A Participant or Parent/Legal Guardian of Participant Initial

Section B: Release, Acknowledgment of risk and indemnity agreement and conditions of ITWAK programs/camps and outdoor science programs

Section B Participant or Parent/Legal Guardian of Participant Initial

Section C: Authorization for Emergency Medical Costs

Section C Participant or Parent/Legal Guardian of Participant Initial

Section D: Authorization for Emergency Medical Care

Section D Participant or Parent/Legal Guardian of Participant Initial

Section E: Medical Insurance Coverage

Section E Participant or Parent/Legal Guardian of Participant Initial

Section F: Electronic Signature Statement

Section F Participant or Parent/Legal Guardian of Participant Initial 

Section F: Electronic Signature Statement

Section F Participant or Parent/Legal Guardian of Participant Initial

Section G: Parent or Guardian’s Additional Indemnification (Must be completed for participants under the age of 18)

Section G Participant or Parent/Legal Guardian of Participant Initial 

Section H: Participant, Parent/Legal Guardian of Minor Participant Agreement to Liability Waiver and Program Policies Form

Section A: Outdoor Science Programs and Expedition Policies

1. PAYMENTS: Payments occur through any of our booking platforms; Fareharbor and/or Viator/Tripadvisor app or our online booking system, Sawyer, on our website at www.intothewoodsalaska.com. On Sawyer, customers have the option to pay in full or a non-refundable 25% payment is due at time of booking, and the remaining 75% will be charged at least 30 days prior to your start date.

2. ACT OF NATURE: If an unforeseen, uncontrollable event happens that forces the closure of any ITWAK program, for example a COVID-19 outbreak, other pandemic virus, natural disaster, weather, or other unforeseen or uncontrollable event, ITWAK will not be able to offer refunds for any program booked during this time.


3. PARTICIPANT OR PARENT/LEGAL GUARDIAN INITIATED CANCELLATIONS AND REFUND POLICY: This policy has been established to meet the demands of planning well organized expeditions and programs. If for any reason a program ends early there will be no refund. All cancellations and requests for refunds MUST be submitted via the cancellation form “ITWAK Customer Cancellation Notification” on our website. We have many different types of programs, for which our cancellation policies vary. In the event that you are unable to join us the following guidelines will apply.


For All Multi-Day Bookings including, but not limited to: Summer Camps - both weekly and “drop-in” days, MTB Club Drop-in Days, and Multi-Day Expeditions, Trips, Courses, and Workshops

a. 75% refunds will be provided 60 or more days prior to the program/camp date.

b. 50% refunds will be provided 30-59 days prior to the program date.

c. No refunds will be provided within 29 days of the program date.

d. If a student/participant is expelled due to behavioral issues (please see item 10 below) there will be no refund for their current program and the student/participant is responsible for costs incurred from their expulsion. For future programs in which they are enrolled and expelled, there will be a 75% refund.


For all Single Day Bookings including, but not limited to: eco-hikes, the wooden spoon carving club, and other single day courses or workshops: 

a. 75% refunds will be provided 7 or more days prior to the program/camp date.

b. No refunds will be provided within 7 days of the program date.

c. If a student/participant is expelled due to behavioral issues (please see item 10 below) there will be no refund for their current program and the student/participant is responsible for costs incurred from their expulsion. For future programs in which they are enrolled and expelled, there will be a 75% refund.


For all After-School Programs, MTB Club Programs, Homeschool Programs and all other programs and memberships on a monthly billing cycle: 

  1. We require at least 3 weeks written notice before the start of the following month to cancel future installments in the monthly billing contract.
  2. 75% refunds will be provided 21 or more days prior to the program/camp date.
  3. No refunds or cancellations will be provided within 14 days of the program date.
  4. If a student/participant is expelled due to behavioral issues (please see item 10 below) there will be no refund for their current program and the student/participant is responsible for costs incurred from their expulsion. For future programs in which they are enrolled and expelled, there will be a 75% refund.


TRANSFERRING RESERVATIONS: We create programs and staff based on the number of participants enrolled in each program. Due to this it creates both logistic and financial hardship to move reservations. With that in mind our policy is as follows:

a. Multi Day Bookings must be made at least 30 days prior to the start of the camp. 

b. Single Day Bookings all transfers must be made 7 days prior to the start. 

c. All transfers are assessed a $25 administrative transfer fee.


5. IF YOUR PROGRAM/CAMP IS CANCELED BY ITWAK: If, for any reason apart from the ACT OF NATURE clause above, ITWAK has to cancel your program, course, or program, all deposits and program payments will be refunded in full minus a 5% transaction fee, or, are fully transferable to another program. ITWAK will not be responsible for any costs associated with cancellations including, but not limited to: flight cancelation fees, flight change fees, and/or associated lodging and meal fees. In the unlikely event that an ITWAK program/camp fails to enroll a minimum number of participants within 30 days of the start date of the session, said session will be canceled, and a full refund shall be returned, or the participant shall have the option to enroll in a different session, as space allows. Into the Woods, LLC will make every effort to immediately notify the participant of this situation. ITWAK is not responsible for cancellations occurring from an Act of Nature (see above Act of Nature clause).

6. ENROLLMENT IN REMIND OR OTHER COMMUNICATION APPS: All participants will be added to Remind, or another communication app of our choosing that we use to update participants and parents via email and text as changes may occur. Participants, Parents or caregivers may choose if they want to download the app on their personal mobile or desktop device, but Into the Woods Alaska will automatically add a name and phone number associated with the participant. This app allows us to quickly and accurately disseminate important, sometimes emergency information via text and email, and allows for easier document sharing and communication within our community. As we evolve and grow, we may change to a different service depending on our needs.

7. RELEASE, ACKNOWLEDGMENT OF RISK AND INDEMNITY AGREEMENT: All participants are required to sign our Release, Acknowledgment of Risk and Indemnity Agreement. Please take time to read this form and make yourself familiar with it before signing. If the form is signed electronically, participants may be required to sign the form in person upon arrival for the activity, but nothing shall be deemed to affect the efficacy of the electronically completed and signed form.

8. MEDICAL INSURANCE: ITWAK requires that all guests have their own health insurance. Individuals are solely responsible for any medical costs, including all associated rescue, evacuation, and transportation costs. Please take time to review your medical insurance policy. Make certain that your coverage extends to the location of your program, and that it provides coverage for any potential, associated, costs.

9. TRAVEL INSURANCE is highly recommended. In many cases travel insurance will help cover medical expenses, evacuation costs, lost baggage, travel delays, and other costs in the event of cancellation of the program. Additionally, purchasing a family or single subscription to LifeMed Alaska is a good idea. In the event that you or your child must be medically evacuated from the backcountry, LifeMed will cover the costs beyond what your personal insurance will cover.

10. WEATHER DELAYS AND ASSOCIATED CONSIDERATIONS: In the event that your program is unable to depart at the scheduled time, individuals are responsible for any associated costs including food and lodging. Furthermore, weather and associated logistical challenges may make it difficult to cover all curriculum points. In the event that a program is delayed or changed in response to unforeseeable forces of nature, ITWAK is not responsible for any delays or changes in program structure. The wilderness is an ever-changing environment. ITWAK guides are experts at dealing with this changing environment. Despite the guides’ best efforts, weather and environmental conditions can change the focus of a program.

11. PARTICIPANT RESPONSIBILITY: Program participants or participant’s parents/legal guardians are responsible for participants own well-being. This includes good health and strong physical condition. Program participants or participant’s parents/legal guardians are responsible for: knowing all pre-departure information, preparing proper equipment and clothing, conforming to basic standards of personal hygiene (to minimize the risk of travelers diseases and wilderness diseases and infections) and acting in a respectful manner toward all participants and with respect for each place/country’s customs. Participants are prohibited from using illegal drugs and alcohol while on ITWAK programs. Participants give their consent for ITWAK to use their photograph, likeness and/or voice to be used in its publications, including its website and social media accounts. Participant's responsibilities further include the following: (1) they are responsible for reviewing the various forms, releases, and information contained in the web site and forms; (2) they will follow the instructions and directions of guides and expedition leaders.

12. BEHAVIOR EXPECTATIONS AND DISCIPLINE POLICY FOR PARTICIPANT MINORS: ITWAK adheres to and applies behavior expectations and progressive behavior and discipline policies. Into the Woods, LLC does not tolerate: Behavior that threatens the physical or emotional safety of self or others; Destructive behavior; Behavior that is a detriment to the quality of the program or impedes other participants from engaging in the program to the full extent. Should a participant display these behaviors, the ITWAK representative will contact the parent or legal guardian. If the child’s threatening, destructive, or detrimental behavior continues the owner will request: immediate pick up, suspension, or dismissal from the program. Dismissal from the program may occur depending on the severity and frequency of the behavior. If a participant is dismissed from the program, a refund will not be provided for the camp / week in progress, however, the parent/legal guardian will receive a 50% refund for all remaining camps for which the child is registered.

13. LATE PICK UP POLICY: Late pick up from any program will result in a $1.00/minute charge. This rate will take effect after the final pick up time as established at initial booking. Failure to pay will result in dismissal from all subsequent camps / programs with no refund.

14. GENERAL BEHAVIORAL EXPECTATIONS: For individuals dealing with behavioral, motivational or rehabilitation issues, ITWAK is not an appropriate choice. Participants must be able to meet the physical, mental, social or safety demands of our programs. Guests may be expelled if ITWAK deems their behavior unsafe, disruptive, or distracting from the educational goal of their program/expedition. Harassment, use of drugs and alcohol, theft or misuse of property, low motivation and disregarding instructions are examples of behavior that will lead to expulsion. If a student/participant is expelled there will be no refund, and the student/participant is responsible for costs incurred from their expulsion. 

15. OTHER CONSIDERATIONS FOR MINOR PARTICIPANTS: Does your child have any special needs? Please keep in mind that we are not trained as special needs educators, and while we can accommodate many different learning styles, we are not well equipped for children that need a 1:1 guidance, as our ratios are between 5:1 to 10:1. If your child runs away, is non-verbal, has difficulty differentiating safe situations/actions from unsafe ones, and/or has trouble adhering to safety instructions from teachers/counselors, we are not the best-suited program for your child. 

Section A Participant or Parent/Legal Guardian of Participant 

Section B: Release, Acknowledgment of risk and indemnity agreement and conditions of ITWAK programs/camps and outdoor science programs

Please note: Conditions of our programs/camps will apply depending on the nature of each unique program, camp, or expedition

1. We are committed to helping all our participants achieve their personal goals safely and enjoyably. Into the Woods, LLC, its owners, agents, employees, officers, directors, associates, affiliated companies and subcontractors (in this form collectively referred to as “ITWAK”), hereby give notice that they are wholly independent of any hotels, transportation companies, land operators and suppliers of travel or other services (other than those provided directly by ITWAK and its employees) that may be used in connection with the programor expedition. ITWAK assumes no responsibility or liability in connection with the operation or service of any aircraft, motor vehicle, other conveyance, inn, lodge, hotel or services provided by any independent contractor or service provider which may be used wholly, or in part, for services to ITWAK and its clients, and will not be responsible for any act, error, omission, nor for any injury, loss accident, delay, inconvenience, irregularity or damage which may be occasioned in conjunction with any such services. This includes acts of nature, civil disturbance, government restrictions or failure of any means of conveyance to adhere to published schedule.

2. ITWAK reserves the right to change the price of, cancel or withdraw any program for any reason whatsoever prior to departure. After departure, ITWAK reserves the right to alter or omit any part of the itinerary, to substitute leaders, to change any means of conveyance without notice and without allowance of refund, with liability for increased costs (if any) borne by the program members.

3. ITWAK reserves the right to refuse service or participation to anyone at any time, and reserves the right to accept or reject any person as a program participant at any time. 

4. ITWAK is a welcoming organization and welcomes all people. ITWAK does not discriminate on the basis of sex, ethnicity, race or skin color, religion or religious beliefs, sexual orientation, gender identity or gender expression, disability, veteran status, national origin or status of citizenship, age, or marital status. 

5. The named participant, or the named participant’s parent or legal guardian, understands that during any ITWAK programs, certain risks and dangers may arise including, but not limited to: altitude; steep or treacherous terrain; inclement weather; avalanches, rock fall and other natural occurrences; exposure to sun, strong wind, cold temperatures, storms, and lightening; misuse, failure or loss of equipment; shortage of food or water supply; aggressive and/or poisonous wildlife; the forces of nature; acts or omissions of ITWAK; travel by boat, automobile, train, ship, aircraft or other means of conveyance; and accident or illness in remote places without access to medical facilities, transportation, or means of rapid evacuation and assistance. 

6. The named participant, or the named participant’s parent or legal guardian, understands familiarity with the dangers, hazards and risks incident to ITWAK programs as listed above, accepts, and clearly understands that these hazards and risks may result in personal injuries to the named participant and others, including paralysis and death, and hereby expressly assume all of the above risks including, the risks of acts or omissions of ITWAK and do hereby expressly agree to hold ITWAK harmless and defend them against any and all liability.

7. In consideration of the services furnished the named participant, or the named participant’s parent or legal guardian, and to be furnished to named participant as a member of this program, the named participant, or the named participant’s parent or legal guardian hereby releases ITWAK and all the participants of the program from any and all damages, injuries, losses, or any cause of action which may result to named participant, legal representatives or others purporting to exercise statutory or other rights arising out of, or in connection with this program. And I hereby assume each and every damage incident to participation or that of the named participant minor for whom I am the parent/legal guardian, and agree to indemnify and hold harmless ITWAK and all members of the program against any sums which they or any of them may be subject to pay in consequence of any claim.

8. Statement of licensing exemption: ITWAK is not a childcare facility. It is a program exempt from the requirements of Alaska Statute 47.32 and AMC 16.55 relating to licensed child care programs. To meet the requirement of the exemption, all children in the program are allowed to attend voluntarily and must be of school age. ITWAK may not assume responsibility for care of the children. By agreeing to this statement, you acknowledge that you are aware that ITWAK is not a licensed childcare facility and accept the conditions as stated above. 

9. Photo/Likeness Waiver and release:I hereby grant permission to ITWAK to use photographs and/or video of the named participant taken during any ITWAK program in publications, news releases, online, and in other communications related to the mission of ITWAK. I authorize ITWAK, its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that ITWAK may use such photographs of above stated person(s) with or without his/her name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

10. The named participant, or the named participant’s parent or legal guardian, has read the Into the Woods LLC guidelines and program description, and understands their contents, has read and understands the eligibility requirements and code of conduct for the program, understands the individual instructors may add specific rules and regulations for the classes and events that instructor supervises, understands and recognizes the importance of the participant following all rules and instructions, understands that Into the Woods LLC and its employees seek safety, but are not infallible. Possible errors include, but are not limited to, being ignorant of a participant's abilities, failing to give adequate warnings or instructions and negligence generally associated with the activity.

11. The named participant, or the named participant’s parent or legal guardian, understands that all outdoor activities have a certain degree of risk, including known and unknown risks. The named participant, or the named participant’s parent or legal guardian, understands that many of these risks are essential to the activity and, therefore, cannot be eliminated. The named participant, or the named participant’s parent or legal guardian, understands that these risks include bodily injury ranging from minor sprains and contusions, to major injuries including concussion, spinal injuries, disfigurement, and injuries that may cause paralysis, illness, disease or even death, as well as psychological injury. The named participant, or the named participant’s parent or legal guardian, understands an injury may impair the Participant's future ability to earn a living, to engage in business, social, and recreational activities, and to generally enjoy life. The named participant, or the named participant’s parent or legal guardian, understands the following describes some but not all of the risks that may result in injury, death or property damage in any ITWAK program:

a. Risks from adverse weather conditions, including but not limited to, sunburn, lightning, heat stroke, frostbite, hypothermia, dehydration, ice-related injuries including falling on ice and falling ice, avalanche and other extreme conditions, including high winds and severe rain or snow storms.

b. Risks from terrain that include, but are not limited to, unstable footing, falling rocks or other objects, falling against rocks or other objects, deep water, moving water, steep slopes and slippery conditions and dangers such as holes and hazards, including hazards covered or obscured by water, snow, debris, darkness, rain, fog or other conditions. 

c. Risks from poisonous plants, insects, rabid animals, animal attacks and trampling by large animals, other encounters with bears, moose and other animals.

d. Risks from falling to and impact with the ground, sometimes from significant heights. This includes risks from safety equipment, rocks, trees and contact with other people, including people who may be attempting to break your fall. There may also be the risk of falling to, and impact with, water from heights or otherwise impacting water with force. Water also poses the risk of drowning.

e. Risks from equipment failure, collision with and/or program over equipment, malfunction of equipment, loss of equipment, improper use of equipment and failure to follow instructions/guidelines regarding proper equipment/use of equipment. Normal use of equipment may cause injuries as well.

f. Risks from failure to properly maintain equipment, inadequate coach/instructor training or supervision, failure to give adequate warnings or instruction Risks from participants’ failure to follow instructions, participants exceeding their skills and/or physical condition, including dehydration, exhaustion, cramps, hypothermia and fatigue.

g. Risks from participants’ own negligence and negligence of others.

h. Risks from travel, including vehicular accidents.

i. Risks from theft of property.

12. The named participant, or the named participant’s parent or legal guardian, understands and agrees that participation in the activity is VOLUNTARY and based on their own independent assessment of the risks involved.

13. The named participant, or the named participant’s parent or legal guardian, understands that Into the Woods LLC will not assume responsibility for injuries, death and damages sustained in connection with the activities, nor will Into the Woods LLC assume responsibility for property damage or theft. The named participant, or the named participant’s parent or legal guardian, understands and acknowledges that the participant is ULTIMATELY RESPONSIBLE for their own safety during the participation in Into the Woods LLC activities, including the use of facilities and equipment. The named participant, or the named participant’s parent or legal guardian, expressly agrees and promises to accept and assume all the risks to themselves and/or the named participant associated with the Into the Woods LLC activity or program. I understand that primary accident insurance coverage is the named participant, or the named participant’s parent or legal guardian’s, responsibility. The named participant, or the named participant’s parent or legal guardian, acknowledges that if anyone is hurt or killed or property is damaged during the participant's participation in the Into the Woods LLC activity or program, the named participant, or the named participant’s parent or legal guardian, may be found by a court of law to have waived their right to maintain a lawsuit against Into the Woods LLC, its employees, officers, and owners, on the basis of any claim from which they have released ITWAK herein. Every effort will be made to contact parents or other emergency contacts in case of medical emergency. However, this is not always possible. Therefore, the named participant, or the named participant’s parent or legal guardian, gives consent to emergency treatment, hospitalization, or other medical treatment as may be necessary by emergency medical personnel, hospitals, physicians and other medical providers, in the event of an injury or illness.

I HEREBY VOLUNTARILY RELEASE, FOREVER DISCHARGE, AND AGREE TO INDEMNIFY AND HOLD HARMLESS INTO THE WOODS, LLC, ITS OFFICERS, MANAGERS, EMPLOYEES, OWNERS AND CONTRACTORS, FROM ANY AND ALL CLAIMS, DEMANDS, OR CAUSES OF ACTION, WHICH ARE IN ANY WAY CONNECTED WITH PARTICIPATION IN THESE ACTIVITIES, INCLUDING ANY SUCH CLAIMS WHICH ALLEGE NEGLIGENT ACTS OR OMISSIONS OF ITWAK. I ACCEPT SOLE FINANCIAL AND LEGAL RESPONSIBILITY FOR THE NAMED PARTICIPANT IN THE EVENT OF INJURY OR ILLNESS AND AGREE TO INDEMNIFY FOR ANY INJURIES TO NAMED PARTICIPANT(S) ARISING OUT OF THE INTO THE WOODS, LLC ACTIVITY. I ACCEPT SOLE FINANCIAL AND LEGAL RESPONSIBILITY FOR THE NAMED PARTICIPANT FOR PROPERTY DAMAGE, LOST EQUIPMENT, AND/OR DISCIPLINARY SANCTIONS.

Section B Participant or Parent/Legal Guardian of Participant 

Section C: Authorization for Emergency Medical Costs

1. In the event that the named participant leaves a program early for any reason, the named participant and/or the named participant’s legal guardians are responsible for all associated costs and expenses. This includes but is not limited to transportation by: car, truck, boat, plane, and/or, helicopter; medical emergencies; evacuation; and hotels and meals for the named participant and any ITWAK employee that may accompany the named participant during an evacuation. Travel insurance is highly recommended as well as a subscription to LifeMed and/or Guardian Flight (AirMed). For more information please refer to the program policies section of this registration form.

2. I, the named participant or the parent/legal guardian of the minor participant, recognize that I am responsible for any costs associated with leaving a program/expedition early for any reason. This includes but is not limited to transportation, hotels, and meals for the named participant and any ITWAK employee that may accompany you during an evacuation. I understand that travel insurance is required for all international programs and highly recommended for domestic programs. In the event that personal or travel insurance does not cover a rescue, evacuation and all related costs, I hereby authorize Into the Woods, LLC to charge the named participant’s or legal guardian’s credit card in the event of emergency costs outlined above.

Section C Participant or Parent/Legal Guardian of Participant 

Section D: Authorization for Emergency Medical Care

1. This consent shall remain effective for one calendar year and include all programs, hikes, expeditions, and outdoor science programs created and operated by ITWAK for which the named participant is registered therein. As a participant or the parent or legal guardian of the the named participant minor listed on this form, I do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis rendered under the general or special supervision of any member of the medical staff and emergency room staff licensed under the provisions of the Medicine Practice Act, of a Dentist licensed under the provisions of the Dental Practice Act, and on the staff of any acute general hospital holding a current license to operate a hospital from the State of Alaska or in the locality where the program is taking place, if not in the State of Alaska. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power to render care which the aforementioned physician in the exercise of his best judgment may deem advisable. It is understood that every effort shall be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatment will not be withheld if the undersigned cannot be reached.

Section D Participant or Parent/Legal Guardian of Participant 

Section E: Medical Insurance Coverage

1. ITWAK requires that all guests have their own health insurance. It is the named participant’s or parents/legal guardians of the named participant’s responsibility to make sure your insurance will cover you for the duration of the program.

2. No participant may participate in a program without health insurance coverage. If the named participant or parent/legal guardian of the named participant do not already belong to a regular health program, we suggest a short-term policy which may be bought from a local insurance agent. We recommend the purchase of AIG (for international guests), as well as LifeMed and Guardian Flight (Airmed) membership in case of emergency medical evacuation.

Section E Participant or Parent/Legal Guardian of Participant 

Section F: Electronic Signature Statement

By completing this form, the undersigned hereby consent, represent and agree as follows:

1. By applying my electronic signature to this agreement, I, the named participant or parent/legal guardian of the named minor participant, agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this agreement, I 1) acknowledge that I have read and fully understand the terms of the agreement; 2) voluntarily agree to be bound by this agreement; and 3) certify that I am 18 years of age or older. My signature applies to all pages of this contract. I understand that, if I request it, I will receive a Portable Document Format (PDF) version of this agreement after it is signed at the email address I have provided. To view the PDF document, I understand that I will need software that enables me to receive and access PDF files such as Adobe Reader software or other software capable of reading a PDF file. In order to print and retain a hard copy of this agreement, I understand that I will also need a printer connected to my computer. I understand that if I wish to sign a hard copy of this agreement instead of an electronic version, I must contact the party that requires my signature on this agreement directly.

2. That the named participant or parent/legal guardian of the named participant have read and understand the documents and agree to the terms and conditions thereof.

3. That the named participant or parent/legal guardian of the named participant agree to have the transaction and documents related thereto handled through electronic means, and that their completion and return of the documents constitute their electronic signature, consent and agreement.

4. That all information provided by the named participant or parent/legal guardian of the named participant, is true, complete, and accurate to the best of the named participant or parent/legal guardian of the named participant information, knowledge and belief.

5. That the named participant or parent/legal guardian of the named participant, agree to the preservation of the transaction and documents through electronic means, and stipulate and agree that a copy of any of the documents is as good as the original for all purposes. Information as to the retrieval of copies of records may be obtained by calling or corresponding with ITWAK.

6. Accepting the Terms and Conditions of this Agreement. The named participant or parent/legal guardian of the named participant must agree to the terms and conditions of this Agreement. The named participant or parents/legal guardians of the named participant may accept the terms and conditions of this Agreement by: (i) clicking to accept; or (ii) by digitally signing or marking initials where required in this form or elsewhere in the user interface.

7. Electronic Signatures. A party may manifest its assent to this Agreement by clicking on a button displayed in a user interface, by typing the user’s name, or by the user providing his or her digital signature or digital initials. The parties agree to accept digital/electronic signatures and digital/electronic manifestations of assent shall be fully binding upon the parties as if manual signatures had been used.

Section F Participant or Parent/Legal Guardian of Participant 

Section G: Parent or Guardian’s Additional Indemnification (Must be completed for participants under the age of 18)

In consideration of Minor, ("Minor") being permitted by ITWAK to participate in its activities and to use its equipment and facilities, by signing below, the parents/legal guardians of the named participant further agree to indemnify and hold harmless ITWAK from any and all Claims which are brought by, in respect to or on behalf of Minor, and which are in any way connected with such use or participation by minor. I hereby certify that I have the authority to sign on behalf of the minor, and that I and the minor have discussed the activity and the terms and conditions of this form.

Section H: Participant, Parent/Legal Guardian of Minor Participant Agreement to Liability Waiver and Program Policies Form

I understand and agree to all of the above policies, terms, and conditions of ITWAK programs, Camps, and Programs as put forth in this document.

Today’s Date November 30, 2022


First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
Parent or Guardian's Email Address

Email*

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
Insurance

Insurance Carrier*

Insurance Policy Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*

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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Medical History and Personal Questionnaire

Parent/Legal Guardian (2) Name (adults please list emergency contact): *

Parent/Legal Guardian (2) Phone Number (adults please list emergency contact): *

Parent/Legal Guardian (2) email (adults please list emergency contact): *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) *

Authorized Emergency Contact Name and Phone Number (for minor participants, this is also and authorized pick-up in addition to parents/legal guardians) (2) *

Participants Height: *

Participants Weight *

Participants Shoe Size *
Does Participant have any medical, food, or environmental allergies? *
No
Yes

If yes to the above, please list any allergies below.

Adults Participants, please describe your current physical fitness level and experience in this activity, and any fitness/conditioning issues you have any concerns about: *

Does participant have any underlying medical or other health (physical and/or developmental) conditions we need to be aware of? Please explain: *

Has participant ever experienced any TBI, head/brain injuries, concussions, strains, or other related head/brain injuries? If yes, please list date, severity, and treatment given. *

Has participant ever experienced frostbite, frostnip, or other cold injuries to skin and bodily tissue? If yes, please list date, severity, bodily part injured, and treatment of injury.

Please list any person(s) not permitted to be in contact with or to pick up your child from our programs (we only release youth to previously approved adults on the pick-up list, please only list specific person(s) identified by legal proceedings to be prohibited from contact with your child(ren)).

What are your goals for this program? *
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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