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CENTRAL DIVISION WOMEN'S CLINIC


The Central Division WOMEN'S CLINIC

RELEASE FORM

I understand that I am about to participate in The Central Division Women's Clinic (the “CDWC”)

January 2025, Central Division Womens Clinic, Giants Ridge, Minnesota

I have volunteered under my own free will to participate in the CDWC, which is entirely elective. I have thoroughly investigated and understand what is involved in a CDWC.

I understand and acknowledge that the CDWC may include, but is not limited to, extensive classroom and/or fieldwork on first aid scenarios, skiing/snowboarding, and toboggan handling, along with other events that ski patrollers encounter in their duties of patrolling at a ski area and for training and education purposes may involve me simulating the role of an injured person (the “Event Activities”). I understand that I will encounter the inherent risks and dangers of patrolling, as well as the additional risk of working by myself and in groups on a variety of terrain and snowpack of varying conditions and difficulties and may involve movement through avalanche terrain, route selection/hazard identification, stability assessments, search and rescue and survival in the field environment. Field sessions may involve locations from which evacuation of participants would be long and difficult if the participant were injured. I understand and acknowledge that such activity can be dangerous, and I knowingly assume the risk of participating in this Alpine Senior. As part of this Alpine Senior, I understand and acknowledge that I may also encounter additional risks not inherent to a normal participant to the sport of skiing or snowboarding. These additional risks include but are not limited to, risks of injury to any and all parts of my body and even the risk of death. These dangers can be caused or created by many factors, which include, but are not limited to, terrain (both on prepared or groomed ski runs and on areas not prepared, maintained, or groomed), weather, natural obstacles, man-made obstacles, variable snow conditions, avalanches, and other conditions inherent to my participation in Alpine Senior. By signing this Release, I represent that I understand that injuries or even death from skiing/snowboarding and this Alpine Senior are known and recognized occurrences from participation in the sport and the Event Activities and that I freely accept and assume all risks of injury or death that might result from my participation in skiing/snowboarding and/or this Alpine Senior.

In consideration of the opportunity to participate in this CDWC, I acknowledge the following: that I, for myself, my heirs, representatives, agents, servants, employees, successors, assigns, and anyone claiming by or through me, do hereby remise, release, and forever discharge and agree to hold harmless and defend the National Ski Patrol System, Inc. (“NSP”) and any of its subunits, officers, advisors, instructors and members, as well as all fellow participants, both individually and jointly, their respective representatives, agents, servants, attorneys, employees, successors, and assigns, from any and all liability, regardless of any negligence on the part of the same, claims, suits, proceedings, debts, sums of money, accounts, covenants, agreements, promises, judgments, contracts, damages, costs, expenses and demands of whatsoever kind and nature, whether in law or in equity, which I may have, have had, or may at any time hereafter have, arising out of or otherwise connected with, in any way, whether known or unknown, foreseen or unforeseen, participating in the Alpine Senior.

While persons instructing and/or organizing the CDWC, or persons assisting them, may offer advice regarding Event Activities based upon their training, background and experience, I represent and agree that I will use my own judgment when performing and/or demonstrating the skills involved in the CDWC. I will also rely solely on my judgment regarding my personal safety and ability with regard to the terrain, circumstances and conditions in which I may demonstrate or perform to accomplish the tasks involved in the Alpine Senior, including, but not limited to skiing/snowboarding and other related Event Activities. I also clearly understand and agree that, at any time during the Alpine Senior, I shall and am expected to refrain from performing and/or demonstrating any activities, if and when I believe that I may be in an unsafe situation or subject to possible injury or death if I proceed.  

I affirm, by signing this release that I am physically fit and capable of performing the activities involved in the CDWC I also affirm that I have no known physical or psychological limitations that would prevent my full participation in the CDWC, including, but not limited to any limitations in my ability to ski or snowboard. 

I agree that this Release shall be governed by the applicable law of the State of Michigan and that if any part of this Release shall be determined to be unenforceable, all other parts shall be given full force and effect.

By signing this Release I acknowledge that I have carefully read and considered this Release, understand all terms and conditions and agree to be bound by its terms and conditions. I also acknowledge that no promise, inducement, representation or agreement not stated in this Release has been made to me and that the terms of this Release are contractual and not a mere recital.

IF THE PARTICIPANT IS LESS THAN 18 YEARS OF AGE, the undersigned parent or guardian hereby acknowledges that he or she has carefully read and considered this Release, understands all terms and conditions and agrees to be bound by its terms and conditions and understands and acknowledges that this Release applies to the Participant and also to each and every parent or guardian of the Participant. The undersigned also consents to the above Participant participating in the CDWC and signs this Release on behalf of the Participant and the Participant’s parents and/or guardians:


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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 Date of Birth*
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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