RELEASE, INDEMNIFICATION AND WAIVER FORM: (This is a release – please read it carefully.)
I, the undersigned, hereby acknowledge that I have been advised and fully understand that certain elements of danger are inherent in the activities sponsored by Human Nature School which are beyond the control of the instructors, agents, officers, students, and employees of Human Nature School, and that participation in any program activities may entail unavoidable risk of personal injury, death, and loss of or damage to property. These risks include, but are not limited to insect and animal bites and stings, forces of nature such as but not limited to lightning, and unexpected extreme weather conditions, and any hazard present in the wilderness, such as but not limited to low lying branches, sharp objects, and slippery surfaces. I hereby assume all risks of injury and death to those named above and loss of or damage to property arising out of participation in such activity and I agree to indemnify, hold harmless Human Nature School, its officers, instructors, volunteers, agents, and employees (“Releasees”) from and against all claims arising from any occurrence causing damage or injury to myself, my child, or to any party participating in said event or any third parties injured as a result of my actions. I further agree to repair or reimburse Human Nature School for any and all damages that my child or I cause to Human Nature School property or the property at which a specific activity is held. I do hereby authorize Human Nature School or its agents to consent to any medical care determined by a physician to be necessary for the welfare of my child while said child is under the care of Human Nature School and myself and the named emergency contacts listed on this form are not reasonaly available by telephone to give consent. Prior to signing below, I have read and understand the terms and conditions of this Release, Indemnification, and Waiver, understand by signing below I am waiving certain legal rights I may have against the Releasees, and I agree to subscribe to all the terms and conditions set out above.