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My Nature Lab Educational Program Release and Waiver of Liability

In consideration for being permitted in My Nature Lab, be advised: WE ARE A HANDS ON LEARNING ENVIRONMENT. ATTENDEES MAY HOLD LIVE REPTILES AND AMPHIBIANS.

MUST BE LEGAL GUARDIAN - I understand that I cannot sign for anyone for whom I am not a legal guardian. If I choose to forge another parent or adult signature, I may be held financially responsible for any medical or legal costs incurred.

ASSUMPTION OF RISK - I agree that my child is voluntarily participating in the activities offered by My Nature Lab, including but not limited to activities that occur at the facility or during an off-site field advenure. The activities may include walking, running, wading through tall grass and in shallow water, and handling non-venomous reptiles and amphibians. These activities include inherent risks and injury can occur. On rare occasions these injuries can be serious. I accept and assume all of these inherent risks, my child's participation is completely voluntary, and I have elected to allow my child to participate with full awareness of the risks.

RELEASE OF LIABILITY - In consideration of my child being permitted to participate in activities offered at My Nature Lab, I hereby release, waive, discharge and indemnify My Nature Lab and its staff from any and all loss, liability, damage, or cost resulting from injury to my child or his or her property while my child is engaged in any of the activities offered by My Nature Lab.

PHOTOGRAPHY - Any photography, video, or audio taken by My Nature Lab staff at or during My Nature Lab activities will be owned by My Nature Lab and may be used for promotional use without compensation to the Participants.  

RELATING TO CORONA VIRUS/COVID-19 - The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. The virus that causes COVID-19 is spread primarily by close contact between people and through respiratory droplets when an infected person coughs or sneezes. It can also be spread through contact with contaminated surfaces. Most people infected with the COVID-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.

I, the Parent/Guardian, individually and on behalf of my child(ren), acknowledge and understand:

  • The contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) may be exposed to or infected by COVID-19 by participation in My Nature Lab (MNL) programs and activities; and that such exposure or infection may result in personal injury, illness, permanent disability, or death.
  • The risk of becoming exposed to or infected by COVID-19 at MNL may result from the actions, omissions, or negligence of myself and others, including, but not limited to, MNL staff members, other program participants, and their families.

COVID HEALTH GUIDELINES - MNL Educational Programs follow the Boulder Valley School District's Covid Health Guidelines (updated February 18, 2022):

Stay Home When Sick

Follow How Sick is Too Sick - CDPHE’s Illness Guidelines for students and staff in education and child care settings. 

  • Return to school or child care as long as the symptom(s) have been resolved for 24 hours unless the symptoms are caused by an illness that requires them to stay home longer.
  • COVID testing is recommended, not required, for anyone with COVID-like symptoms or a known exposure

COVID-like symptoms include:

  •  Fever (100.4 and above), chills, new or worsening cough, shortness of breath, loss of taste or smell, sore throat, runny nose or congestion, muscle or body aches, headache, fatigue, nausea or vomiting, diarrhea

Isolation (If you test positive) - Required 

Any individual who tests positive must isolate at home until: 

  1. They have had no fever for at least 24 hours — without the use of fever-reducing medicines, AND 
  2. Symptoms are improving, AND 
  3. It has been at least 5 days since symptoms began 
  4. If symptoms do not develop, count 5 days from when the test was administered
  5. Individuals should then wear a well-fitted mask for the next 5 days when around others. If they are unable to effectively wear a mask for an additional 5 days, they should isolate for the full 10 days.

*A negative COVID test is NOT required to return after testing positive 

Quarantine for Exposures

If exposed to a positive household member or other individual you should follow these quarantine guidelines based on your vaccination status.

Up-to-Date or Exempt - Do not need to quarantine, should wear a mask around others for 10 days 

  • Definition of Up-to-Date
  • Ages 12 and older and have received all recommended vaccine doses, including a third dose if more than 5 months from the second dose
  • Ages 5-11 years and have completed a primary series of COVID-19 vaccines (2 doses)
  • Individuals are Exempt if they have had a positive COVID test within the past 90 days


  • Not Up-to-Date or Exempt:  
  • Should stay home for 5 days from the last contact with the positive individual, test if possible and continue to wear a mask around others for 5 additional days 
  • Household contacts that cannot separate from a known case, must start their quarantine on the last day of the known case’s infectious period (day 5). 

BROAD SCOPE - This Registration, Release and Acknowledgement of Risk is intended to be as broad and inclusive as permitted by the laws of the State of Colorado, and if any portion hereof is held invalid, the balance shall, notwithstanding, continue in full legal force and effect.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Medical Information

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
First Participant's Signature*
Second Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Third Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Fourth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Fifth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Sixth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Seventh Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Eighth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Ninth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
Tenth Participant's Name

First Name*

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

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
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 or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Medical Information

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Does the participant suffer from any allergies, illness, disabilities, or other medical conditions? If so, please describe.

Is there anything else you would like us to know about your child?
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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