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PARTICIPANT ACKNOWLEDGEMENT OF RISKS AND WAIVER AND RELEASE OF LIABILITY



ASSUMPTION OF RISK AND WAIVER

Please read carefully this acknowledgement of risks, waiver and release of liability and sign on the second page. This is a two page legal document and you must read, or have read to you, both pages and agree to the information provided on both pages.

I Agree
I knowingly agree to participate in this trip led by Peak 7 Adventures. In consideration of the services of Peak 7 Adventures, guides, their agents, owners, officers, principles, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf hereinafter collectively referred to as “Peak 7 Adventures”. Peak 7 Adventures takes pride in our efforts to provide safe and managed activities, but our activities are not without risk. We do not want to lessen your enthusiasm for the experience; we want all participants to be fully knowledgeable on what to expect and what some of the potential risks incurred by participating. I acknowledge that remote environments are unpredictable and hazardous and though my leaders strive for safety, they are not infallible. I am mindful of the inherent risks and dangers involved in these activities. The following describes some but not all of the risks: 

  • Slips and falls during activities as a result of wet, uneven ground, walking on slopes and/or paths with exposed roots, sharp sticks and bumps;
  • Forces of nature, including hazardous conditions, inclement weather and temperatures including but not limited to extreme heat, extreme cold, rain, snow, falling rock, and exposed ledges;
  • Hazardous animals and plants and other natural occurrences including but not limited to flying insects, marine life such as crabs, sea urchins, and jellyfish, plant life such as stinging nettles, and other animals such as snakes, deer, goats, bears and raccoons;
  • Water activities may include swimming. All water activities have the danger of bodily harm, hypothermia and drowning;
  • Difficult or nonexistent evacuation, rescue and/or medical treatment;
  • Difficult or nonexistent means of communication;
  • Equipment loss and/or failure;
  • Others in my group acting dangerously or in a manner putting me at risk;
  • Acts or omissions of Peak 7 Adventures

I Agree
Potential consequences of these activities include, but are not limited to broken bones, muscle tears, sprains, joint problems or other orthopedic injuries, disabling head or spinal injuries, eye injuries, heart attacks, strokes and other cardiovascular problems, heat exhaustion or heat stroke, allergic reactions, cuts, infections, burns, dehydration, mental anguish, hypothermia, drowning or other means of death.

I Agree
I acknowledge that Peak 7 Adventures is not responsible in any way for personal clothing, items or equipment that may be lost, stolen or damaged as a result of participating in a Peak 7 Adventures trip. 

I Agree
I am aware of these risks, and I am assuming them on behalf of myself or my child. I, and my child, recognize that safety instructions must be followed, to remain in designated areas and refrain from behavior that is harmful to myself or others. I authorize myself or my child to participate fully in all of Peak 7 Adventures activities. These activities include, but are not limited to backpacking, hiking, canoeing, kayaking, rock climbing, rappelling, swimming, rock/cliff jumping, mountaineering, snow shoeing, camping, snow camping, stand up paddle boarding, and whitewater rafting.

I Agree
Model Release: I authorize and agree to the reasonable and proper use by Peak 7 Adventures of any and all photographs/videos/statements by, of or about my self or child/ward.

I Agree
I agree to disclose any past and current injuries, any other medical issues currently affecting me, current medications I am taking, and any allergies I am taking to Peak 7 Adventures before the start of the trip.

RELEASE OF LIABILITY

I Agree
All reasonable effort has been made by Peak 7 Adventures to fully communicate the specifics of this trip to me. I have had the opportunity to ask questions concerning this trip. I hereby agree to release, indemnify, and discharge Peak 7 Adventures, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representatives and estate which may arise from my participation in this trip, including any claim for property loss, damage, injury, or death that I may suffer, or any claims of negligence or omission.

I Agree
I further agree to indemnify and hold harmless Peak 7 Adventures and members of the trip against any sum I may be subjected to pay in consequence of any claim or demand made against me during my participation in this trip, unless the party is liable for such claim or demand.

I Agree
This agreement is intended to be interpreted as broadly as permissible under Washington State law, and if any portion of this agreement is held invalid, it is agreed that all other parts shall continue in full legal force and effect.

I Agree
This agreement shall be interpreted and governed by and under Washington State law, and any claim or controversy arising out of or relating to this agreement shall be settled by binding arbitration in Spokane County, Washington.

I Agree
I acknowledge that this agreement applies to all future events of Peak 7 Programs until canceled or replaced in writing.

I have read or have had read to me, and I understand and agree to the above statements and the statements on Page 1 of this two-page document. I understand that this form may not be altered and that I, or my child, may not participate without this form signed. I acknowledge that I have signed this of my own free will, that this document may affect my legal rights, and that my child’s participation in Peak 7 Adventures trips is purely voluntary.








First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Organization Name

Name of Organization *

Date of Trip *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Third Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Fourth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Fifth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Sixth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Seventh Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Eighth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Ninth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Tenth Participant's Name

First Name*

Middle Name

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

Name of Organization *

Date of Trip *
Parent or Guardian's Email Address

Email*

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

Emergency Contact's 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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Organization Name

Name of Organization *

Date of Trip *
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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