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 Desert Institute

at Joshua Tree National Park Association


PARTICIPANT AGREEMENT

(Including assumption of risks and agreements of release and indemnity)

Please read this document carefully before signing. It must be signed by or on behalf of all participants in the activities of The Desert Institute of Joshua Tree National Park Association (“the institute”). Parents must agree and sign for themselves on behalf of their minor (under 18 years of age) child or children.

In consideration of the Institute allowing me and/or my child to participate in courses and other activities organized by it, I, an adult, or parent of a minor participant, acknowledge and agree, for myself and for the minor child, as follows:

1. Activities and risks: I understand that the activities (‘’courses” or “classes”) of the Institute are described at the Institute’s website (www.joshuatree.org) and catalog and include, amount others, the following: hikes of up to twelve miles and elevation changes of up to 4000 feet in one day, “scrambling” (three points of contact required) over large boulders; large camp fires temporary camping; handling non-venomous reptiles and snakes, some of which carry E. Coli, working with sharp objects (including artifacts, rock shards) and knives and other tools; carrying a pack of perhaps twenty-five pounds; working in an environment attractive to bees; and some program activities at night, and night driving.

I understand that the Institute activity in which I and/or my child is enrolled will expose participants to certain risks. These risks include, though not exclusively, the following: personal injury, including death, and loss or damage to personal property; heat exhaustion or heat stroke; contact with harmful plants, animals or insects that may result in bites, stings, or lacerations; contusions or broken bones; hypothermia, drowning, slipping and falling; falling objects, avalanche and rock slide; the hazards of carpooling with other participants or staff to various location; traveling by vehicle (perhaps 200 miles in one day) and on foot in the desert wilderness area and over roads, trails and rough unstable terrain; the forces of nature, including weather and temperatures conditions which may include extreme heat and severe exposure to the sun; and errors of judgment and other acts and omissions, including carelessness, of the Institute staff (including volunteers, and instructors). Other participants and third person over whom the Institute has no control. The Institute instructors are independent contractors. As such, they, and not the Institute, are responsible for their acts and omissions. Accidents and illnesses may occur in remote areas without easy access to medical facilities equipped to deal with an emergency. The risks described above are inherent in the activities - that is, they cannot be eliminated without altering the value and very character of the experience. I understand that other risks may also be encountered.

2. Assumption of risks: For myself and, if applicable, for my minor child, I voluntarily assume all the risks and hazards of the Institute activity in which I, or the child will participate. If my minor child is a participant, I have discussed the activities and their risks with the child and if she or he wishes to participate, nevertheless. Participation is entirely at my, and the child’s if applicable, own risk. I, and the child, will learn and follow safety guidelines and procedures established for the activity

3. Medical Emergencies: I give permission to the Institute staff or emergency personnel of Joshua Tree National Park or other agencies to administer to me, or to the child basic first aid and, if age appropriate, Adult CPR in the event of an accident, injury, or illness. If in their opinion circumstances require such action, they may provide or obtain other emergency medical care and exchange medical information with third party caregivers. I understand that staff members may not possess the required training or equipment to handle all incidents that may occur. I represent that I have adequate insurance to cover any inquiry or damage which I or the child may cause or suffer while participating, and in any event, I agree to bear the costs of such injury or damage. I am, or the minor participant, if applicable, physically fit and able to engage in the activities and have no medical or physical conditions that could cause me, or the child, to be a danger to ourselves or to others. Participants must consult with a physician regarding protection from food, plant and other allergies and carry all recommended medications for these conditions. These medications will not be available from Institute staff.

4. Release of Claims and Indemnity: I, and adult participant pr parent of a minor participant (for myself and for the child) do hereby release and agree not to sue the Institute, Joshua Tree National Park Association, and their respective officers, directors, employees, members, instructor and volunteers (“released parties”) with respect to any personal injury or illness, loss, liability, damage or costs incurred by me or the child arising from my or the child; s enrollment or participation in the activities of the Institute. Further, I agree to indemnify (that is, defend and protect, including payment of claims, costs, and attorney fees) the released parties and each of them from claims of others arising from losses incurred by me, or the child, or caused by me, or the child. These agreements of release and indemnity include claims alleging or arising from the negligence (but not the gross negligence) of the released party.

5. Other: I agree to allow the Institute to use my or the child’s likeness in photographs or videos taken during these activities to promote the Institute, without compensation. The Institute reserves the right to cancel or change activities without prior notice. The Institute reserves the right to cancel or terminate the registration or participation of any participant who, in its sole discretion, fails to meet the requirements of these activities.

Any dispute between the participant and the Institute or another released party will be governed by the substantive laws of the State of California (not including the laws which may involve the laws of another jurisdiction); and any suit or other legal proceeding pertaining to any such dispute will be brought in the courts of San Bernardino County, California. 

 

Activity/Event name and date

Activity/event name *

Date of the activity or event *
First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
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:*
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 Health Questionnaire

Please list any injuries, allergies, or medical conditions that may impact your ability to participate in this event: *

Please list all medications you are currently taking: *

Emergency Contact Information (name, relationship to you, phone number): *
Please let us know if you have any of the following:*
Asthma
Blood Disorder
Diabetes
Epilepsy
None
Other
High Blood Pressure

Additional Comments:
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. <br> I have had sufficient opportunity to read this entire document. I have read and understood this document and, for myself and for my minor child who may be a participant, I agree to its terms.


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