Participant/Volunteer Liability Release, Waiver
P.O. Box 1050 | Wilton, CA 95693 info@rescue3.com | rescue3.com 916-687-6556 | 1-800-457-3728
This document affects your legal rights. Please read and understand this document before signing it. You may not participate in any hands-on activities without this form having been completed, signed and witnessed. Signatures must be made by the participant and the participant’s legal guardian if the participant is under the age of 18. Participants under the age of 16 are not eligible to take part in any field instruction of any sort.
In consideration of the services of {instructortrainingProvider} (Instructor/Training Provider), Rescue 3 International, a California corporation (and any subsidiary entities and assumed business names), their owners, members, directors, officers, shareholders, employees, agents, volunteers and all other insurers and persons or entities acting in any capacity on their behalf (hereinafter “Instructor/Training Provider/Rescue 3”), I hereby agree to release and discharge Instructor/Training Provider/Rescue 3, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:
Acknowledgment of Risk and Indemnification Agreement
I acknowledge my voluntary participation in rescue training courses as a trainee and/or volunteer, including those courses involving rescue training and related activities, entails known and inherent risks, as well as unknown/unanticipated risks which could result in serious physical, mental or emotional injury or trauma, paralysis, death, drowning, illness and disease or damage to myself, third par ties and my own or others’ property. I understand such risks simply cannot be eliminated without jeopardizing the essential qualities of this training and associated activities. These risks include but are not limited to:
General Risks: injuries related to: 1) weather conditions; 2) water conditions in all bodies of water; 3) contact with debris; 4) diffi cult terrain, hiking or walking conditions; 5) use of ropes and any related equipment; 6) contact with any animals; 7) contact with water-borne, insect-borne or blood-borne pathogens; 8) lack of needed medical care; 9) falling; 10) environmental contaminates; 11) natural or man-made objects; 12) muscular or skeletal overuse; 13) drowning or near drowning; 14) collision with objects or people; 15) entanglement with equipment; 16) cuts from sharp objects; 17) mental trauma due to events or information received during training; 18) exposure to allergens; 19) frostbite; 20) personal physical contact between students and/or instructor; 21) my own physical condition and acts or omissions; 22) loss or damage of my personal property; 23) my own and other par- ticipants’ attempts to exceed skills and/or acting in a reckless manner; 24) my own failure or that of other participants to follow In- structor/Training Provider/Rescue 3’s safety guidelines and instructions of its instructors; 25) my own and others’ improper use of equipment; 26) inadequate repair or maintenance of Instructor/Training Provider/Rescue 3’s equipment; 27) failure of (including manufacturing or other defects, both apparent and latent) the equipment supplied or used by Instructor/Training Provider/Rescue 3; 28) vehicular or pedestrian accident while being transported or walking to or from activity sites; and 29) error or negligence on the part of Instructor/Training Provider/Rescue 3 and its instructors, including inadequate instruction or assistance.
Additional Confined Space Rescue Risks: injuries related to: 1) deficient oxygen; 2) toxic gas; 3) explosive atmosphere; 4) engulfment Additional Ice Rescue Risks: injuries related to 1) contact with ice; 2) being trapped under ice Additional Boat Rescue Risks: injuries related to 1) entrapment from or contact with boat/vessel or propeller Additional Animal Rescue Risks: injuries related to 1) behavior of animals used in the training Additional Tower or Wind Turbine Rescue Risks: injuries related to 1) electrocution Additional Medical Class Risks: injuries related to 1) contact with syringes
Furthermore, Instructor/Training Provider/Rescue 3’s instructors have difficult jobs to perform. They seek safety, but they are not infal lible. They might not be aware of a participant’s fitness or abilities. They might misjudge the weather, the elements, the training envi ronment, or the water or terrain. They may give insufficient warnings or instructions, and the equipment being used might malfunction.
I understand and acknowledge that the above lists of inherent risks are not complete or exhaustive, and that other risks known, or un- known, identified or unidentified, anticipated or unanticipated, may also result in injury, death, illness or disease, or damage to myself, to my property or to other third parties. I expressly accept those risks not specifically listed above as well.
Acceptance of Risks and Responsibility
My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of the risks. I fully understand that I may elect to not participate in any given activity at any time during the course of rescue training.