Please read carefully and sign below.
- I hereby certify that I voluntarily participate in programming provided by Explore Lech-Lecha and assume all risks incident to such program. I realize that I will be participating in activities that involve hazards and risks, including but not limited to change in temperature and climate, dangerous terrain, and traveling in mountainous and/or forested terrain and in otherwise remote places without medical facilities close at hand that may result in physical injury or death. I also understand that any equipment provided by Explore Lech-Lecha will be utilized at my own risk; I further accept personal responsibility for understanding proper usage of all such equipment, and acknowledge that the usage thereof may result in serious physical injury or death.
- I hereby acknowledge that Explore Lech-Lecha assumes no responsibility for the actions of participants engaged in programming provided by Explore Lech-Lecha.
- I hereby represent and warrant to Explore Lech-Lecha that I shall have active medical insurance throughout my participation in programming provided by Explore Lech-Lecha. I understand the nature of such program and that I am qualified, in good health, and in proper physical condition to participate in programming provided by Explore Lech-Lecha.
- I give my permission for Explore Lech-Lecha to: Have and use photographs, slides, videotapes or other media of my participation in Explore Lech-Lecha activities, for its records, public relations, brochures, website, newsletters, and presentations, or promotion of Explore Lech-Lecha.
- I understand and acknowledge that Explore Lech-Lecha reserves the right to make the determination when or if it may be necessary to have a participant withdrawn from the program and to withhold all fees should withdrawal be for purposes of maintaining the welfare or safety of other program participants.
By signing this form, I hereby indemnify, release, hold harmless and covenant not to sue Explore Lech-Lecha, its directors, officers, employees, contractors, agents, and epresentatives. I hold Explore Lech-Lecha harmless from any and all damages, claims, injuries, and liabilities of whatever kind, including but not limited to claims for bodily injury, death and/or loss or damage to personal property, which may arise out of my retreat attendance and out of my participation in any activities while in attendance, including any illness, injuries, or other damages, claims or liabilities of any kind related to exposure to COVID-19. I acknowledge that this summer in particular an inherent risk of exposure to COVID-19 exists in any place where people are present, and voluntarily assume all risks related to exposure to COVID-19.
I have carefully read this waiver, release and assumption of risk, fully understanding its contents, voluntarily sign it and realize that it will bind me, my heirs, and my personal representatives.