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Cold Nature Alaska
Assumption of Risk & Liability Waiver

Coachhuffer.com
Email: johnpaul@coachhuffer.com
907-382-0486
IG: @cold_nature_alaska
Cold Nature Alaska - Facebook Group


I, the undersigned, do hereby voluntarily assume full responsibility and waive all claims against Huffer Health, Wellness, and Athletic Services (HHWA) DBA Cold Nature Alaska, for any injuries or losses I may sustain at this event/experience. 

I understand that cold-training can be physically dangerous and that if an accident happened it could cause injury or death. Specifically, participant agrees to hold harmless the HHWAS and all other individuals, organizations, sponsors, promoters, operators, hosts, instructors, associations, schools, owners, officials, directors, employees and other participants connected with the event/experience, workshops, seminars, retreats and classes from all losses, damages, injuries, causes of actions, claims, or complaints in the event that the participant is damaged or injured in any way during the participation, instruction and/or performance of any exercise or during any activity associated with the event/experience, workshops, seminars, retreats and classes location or during transit to or from the workshops, seminars, retreats and classes. The required physical exertion may be strenuous and cause physical injury, and I am fully aware of the risks and hazards involved. I hereby represent that I am physically fit to receive and participate in the prescribed course of instruction. I acknowledge that I have been advised to consult with a physician prior to and regarding my participation in the event/experience, workshops, seminars, retreats and classes and that my physician has confirmed to me that I have no medical condition which would affect my full participation in the workshops, seminars, retreats and classes. The participant further agrees to strictly obey instructors and observe safety rules. 

Specifically, I agree to release and hold harmless HHWAS and all other individuals and organizations connected with the event/experience from any and all losses, damages, injuries including death, causes of actions, claims of negligence of HHWAS, its employees, and/or other participants in the event that I am damaged or injured in any way during the participation, instruction and/or performance of any exercise or during any activity associated with the event/experience.

Because of the physical demands of this program, the participant understands that he/she must be in good physical condition to participate in the event/experience, workshops, seminars, retreats and classes. The participant understands that in case of injury, the only medical treatment Cold Nature Alaska will provide is first aid.

The participant agrees that any pictures, audio, or visual recordings taken of him/her in connection with the event/experience, workshops, seminars, retreats and classes can be used for publication, promotion, articles, shows and advertisement without additional consent and without compensation at this time or any other time. 

I am over 18 years of age. (If not over 18 years of age, parent or guardian must sign.) I have had sufficient opportunity to read this entire document. I have read and understand it, and I agree to be bound by its terms. 


Today' s Date: September 17, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Second Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Third Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Fourth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Fifth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Sixth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Seventh Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Eighth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Ninth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Tenth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Information

List any physical, mental, or perceptual difficulties or disabilities that may inhibit cold-training:

Do you use any type of prescription medication? If yes, please explain:

**Primary contact method is email. We will use this for important information & disclosures regarding your account. We will NEVER share your email with anyone outside of our organization. 


How did you hear about this event/experience:

Huffer Health, Wellness, and Athletic Services, DBA Cold Nature Alaska 

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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