Douglas County School District PERMISSION, ASSUMPTION OF RISK, RELEASE &WAIVER OF LIABILITY

School Year: 2025-2026

Description of Activites

Please select the Field Trips and ONSITE days your child WILL be attending and participating in
with Trailbazer BASE. 

OFF CAMPUS EVENT/ACTIVITY PLEASE READ:
The undersigned student has requested permission to participate in the above-named or other
programs (hereinafter collectively referred to as "Program") during the above-stated school year. The
Programs generally consists of the activities identified above (hereinafter collectively referred to as the
"Program Activities" The Program is intended to provide the opportunity for the student to learn a skill or
participate ina job that will likely be part of his or her future employment plans. While the general nature of
the Program Activities may be approved by the school in terms of its apparent relevance to the student's
future employment goals, neither the Douglas County School District ("District"), nor any of its employees
sponsor or supervise the Program or Program Activities nor have they made any determination of the risks
associated with it, the background or credentials of the business or persons with whom the student will be
working, nor other details of the Program Activities. In recognition of this and in consideration of
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approving the student's request to participate in the Program, I/we hereby give my/our permission to allow
the above-named student ("Student") to participate in the Program and Program Activities. In
consideration of the District accepting the Student for the Program the undersigned Student and I/we
agree as follows: The Student and parent(s), guardian(s), and legal custodian(s) understand and agree
that the Student will be using the transportation set forth on this form to travel to the main location of the
Program. Student and parent(s)/guardian(s)/legal custodian(s) acknowledge and understand the Program
may require travel to and from worksites and locations other than Program's main campus. Should the
Student's parent(s), guardian(s), and legal custodian(s) seek to provide alternate transportation for the
Student to or from the Program, notification from the parent(s guardian(s), and legal custodian(s) must be
given to the District or program organizer prior to the commencement of the Program. I/We expressly
acknowledge, understand, and agree that, in the case of transportation by private vehicle, the insurance
carried by the primary vehicle's owner is the primary insurance coverage.I/We acknowledge that the District does not have any medical/dental/hospitalization insurance covering
students for injuries incurred while engaged in the Program Activities. The Student has no medical or
physical conditions that could interfere with the Student's safety or the safety of others in or during the
Program Activities. Student is physically fit and I/we know of no reason why Student should not
participate in the Program Activities. The Student bears all costs of injury or damage to Student. I/We
acknowledge that the District does not assume any responsibility and has no obligation to provide
financial assistance or otherassistance, including medical insurance to Student in the event of injury. If
you have not already done so, you should investigate and must obtain medical insurance coverage for the
Student. A photocopy of your insurance policy information must be provided to the District or your resident
school district prior to the start date of the Program Activities. I/We give my/our consent for Student to
receive emergency medical and surgical treatment in a medical facility by a physician or other licensed
health care provider should my/our child's condition require it in my/our absence. I/We further give my/our
consent for any District personnel or authorized agent of the Program to admit my/our child to a medical
facility for purposes of emergency medical and surgical treatment. I/We understand that in such a case,
reasonable attempts would first be made to contact me/us at the contact information provided below,
time and conditions permitting. I/We further give my/our consent for any District personnel or authorized
agent of the Program to provide basic first aid services to my/our child in the event of minor, non-life or -
limb threatening injury. I/We acknowledge that Student must wear appropriate attire and safety equipment
required for the Program Activities, unless otherwise approved by the District. The Program Activities will
take place away from District and school district property and may involve activities beyond the scope of
traditional school functions conducted on District or school district property. I/We expressly acknowledge
and agree that participation in the Program Activities potentially involves unknown risks and obligations
that are impossible to predict but which are beyond the scope of those normally associated with
traditional school functions conducted on District property. These risks may include, but are not limited to,
the risk of loss or damage to personal property. and the risk of illness, and personal injury, including
without limitation, slips, falls, rope burns, pinches, scrapes, twists and jolts that could result inscratches,
bruises, sprains, lacerations, fractures, concussions or even more severe, potentially life-threatening
injuries, up to and including death. By signing below, the Student and parent(s), guardian(s), or legal
custodian(s) acknowledge that the District is not sponsoring the Program Activities, and the District
cannot assure the Student's safety or eliminate all risks that may be encountered by the Student in the
Program or Program Activities. The Student and parent(s), guardian(s), or legal custodian(s) agree to
assume all risks associated in any way whatsoever with the Program and Program Activities. I/We on
my/our child's behalf and on behalf of my/our heirs, next of kin, executors, administrators and assigns,
further release and hold harmless the District, its elected officials, directors, officers, agents, employees,
and authorized volunteers ("Released Parties") from any and all liabilities, claims, demands, losses,
actions, or causes of action whatsoever arising from the Student's participation in the Program or Program
Activities, including, without limitation, injury, illness, acts, or property damage that may occur as a result
of (a) equipment provided by the District or third parties, or (b) acts or omissions of the Released Parties
in the performance of the Program Activities. I/We further waive any and all claims whether known or
unknown, now existing or arising at any time in the future that I/we have myself/ourselves or on my/our
child's behalf against the Released Parties arising directly or indirectly from Student's participation in the
Program or Program Activities. I/We agree not to institute any suit or action at law or in equity against the
Released Parties in any federal, state or local court, agency or other tribunal based on the Student's
participation in the Program or Program Activities. I/We hereby indemnify, defend, and hold harmless the
Released Parties from and against any and all claims, liabilities, damages, loss, actions, causes of action,or expenses, including attorney fees, as a result of any claim brought against the Released Parties by
anyone relating in any way to my/our child's acts or omissions or as a result of injury or loss sustained by
my/our child while participating in the Program Activities.
The Student and parent(s), guardian(s), and legal custodian(s) further acknowledge and agree that the
Student must follow the District's student conduct and discipline code, policies, and all rules and
regulations set by the teacher and/or authorized agents of the Program Activities and that failure to follow
the code, policies, and rules and regulations may subject the Student to discipline as set forth in the
District's discipline policies, and it may become necessary to discontinue the Student's participation in the
Program Activities. In such case, I/we acknowledge that I/we may be responsible for picking up the
Student.
I/WE ACKNOWLEDGE THAT I/WE HAVE CAREFULLY AND THOROUGHLY READ THIS PERMISSION,
ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND FULLY UNDERSTAND THAT IT IS A
RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I/WE MAY HAVE ON BEHALF OF
MYSELF/OURSELVES AND/OR MY/OUR CHILD/WARD TO BRING LEGAL ACTION OR ASSERT CLAIM FOR
INJURY OR LOSS OF ANY KIND AGAINST DOUGLAS COUNTY SCHOOL DISTRICT. IF ANY ATTEMPT FOR
CLAIM IS MADE, I/WE UNDERSTAND I/WE WILL BE RESPONSIBLE FOR ALL DEFENSE COSTS INCURRED
BY DOUGLAS COUNTY SCHOOL DISTRICT.
I/WE HAVE HAD SUFFICIENT OPPORTUNITY TO READ THE ABOVE, TO CONSULT WITH AN ATTORNEY TO
THE EXTENT I/WE HAVE DEEMED IT NECESSARY TO CONSIDER ITS EFFECTS, BEEN GIVEN THE
OPPORTUNITY TO ASK QUESTIONS, ASSESS THE RISKS OF THE PROPOSED ACTIVITIES, AND
UNDERSTAND THIS ENTIRE DOCUMENT AND AGREE TO BE BOUND BY ITS TERMS.

ONCAMPUS EVENT/ACTIVITY ASSUMPTION OF RISK:
As the undersigned parent or legal guardian of the student identified below (“Child”) I understand and
hereby acknowledge that participation of my/our Child in any District-approved activities facilitated by the
District or sponsored by third parties, including those activities identified in this Assumption of Risk and
Waiver of Liability for District Events or Activities On-Campus (collectively “Activity”), involve INHERENT
RISKS AND HAZARDS, INCLUDING WITHOUT LIMITATION, DEHYDRATION, HEAT EXHAUSTION, HEAT
STROKE, DROWNING, SUFFOCATION, HYPOTHERMIA, FROSTBITE, SUNBURN, SLIPS, FALLS, ROPE
BURNS, PINCHES, SCRAPES, AND JOLTS THAT COULD RESULT IN SCRATCHES, BLISTERS, BURNS,
MUSCLE SORENESS, BRUISES, SPRAINS, DISCLOCATIONS, LACERATIONS, FRACTURES, CONCUSSIONS,
PARAPLEGIA, QUADRIPLEGIA, OR OTHER SERIOUS PERMANENT PHYSICAL IMPAIRMENT AND EVEN
DEATH, AS WELL AS MINOR OR CATASTROPHIC PROPERTY DAMAGE AND LOSS. A COMPLETE LISTING
OF INHERENT AND OTHER RISKS ARE NOT POSSIBLE. THERE ALSO ARE RISKS THAT CANNOT BE
ANTICIPATED.
Douglas County School District (“District”) has authorized the Activity described above. The Activity will
take place on District property and it may involve activities beyond the scope of traditional school
functions conducted on District property.
I/We give my/our permission for my/our Child to participate in the Activity and ON BEHALF OF MY/OUR
CHILD AND MYSELF, I/WE FREELY ACCEPT AND FULLY ASSUME ALL COSTS, RISKS, DANGERS, AND
HAZARDS of my/our Child’s participation in the Activity. We expressly acknowledge, understand, and
agree that the District does not have any medical/dental/hospitalization insurance covering students for
injuries incurred at school or while engaged in the Activity and activities associated therewith. The Child
has no medical or physical conditions that could interfere with the Child’s safety or the safety of others by
engaging in the Activity. Child is physically fit and I/we know of no reason why Child should not
participate in the Activity. The Child bears all costs of injury or damage to Child.
I/We understand that the District cannot accept and will not have any responsibility for my/our Child’s or
any third party’s intentional or negligent acts or omissions, including product liability, occurring during
my/our Child’s participation in the Activity.

RELEASE OF LIABILITY, WAIVER OF CLAIMS:
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In consideration of the District allowing my/our Child to participate in the Activity, on behalf of my/our
Child and myself, I/we hereby expressly agree as follows:
1. TO WAIVE ANY AND ALL CLAIMS whether known or unknown, now existing or arising at any time in
the future that I/we have myself/ourselves or on my/our Child’s behalf against the District, its elected
officials, directors, officers, employees, representatives, agents and volunteers (collectively hereinafter
referred to as the “Released Parties”), arising directly or indirectly from my/our Child’s participation in the
Activity.
2. TO RELEASE AND HOLD HARMLESS THE RELEASED PARTIES from any and all liabilities, claims,
causes of action, losses, damages, injuries or expenses that my/our Child may suffer as a result of, but
not limited to, my/our Child’s participation in the Activity.
3. TO INDEMNIFY RELEASED PARTIES and each of them for any and all expenses incurred, including
without limitation, attorneys’ fees and costs, as the result of any claim brought against any of the Released
Parties by anyone relating in any way to my/our Child’s acts or omissions or as a result of injury or loss
sustained by my/our Child while participating in the Activity.
4. THAT THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY shall be effective and binding upon
my/our heirs, next of kin, executors, administrators and assigns, in the event of my/our death or
incapacity.
5. THAT THE TERMS OF THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY shall apply and have
priority over any previous agreement or written agreement, representation, terms or conditions to the
contrary, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding,
continue in full legal force and effect.
6. THAT THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY shall be governed by, interpreted in
accordance with the laws of, and enforced in the federal and state courts of the State of Colorado.
I/WE HAVE FULLY READ AND UNDERSTAND THIS ASSUMPTION OF RISK AND Release of Liability FOR
DISTRICT EVENTS OR ACTIVITIES ON-CAMPUS AND AGREE TO BE BOUND BY IT. I/WE HAVE HAD
SUFFICIENT OPPORTUNITY TO READ THE ABOVE, TO CONSULT WITH AN ATTORNEY TO THE EXTENT
I/WE HAVE DEEMED IT NECESSARY, BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS, UNDERSTAND
THIS ENTIRE DOCUMENT, CONSIDER ITS EFFECTS, AND AGREE TO BE BOUND BY ITS TERMS. I/WE
ACKNOWLEDGE THAT PARTICIPATION BY MY/OUR CHILD IN THE ACTIVITY IS VOLUNTARY. I/WE
AM/ARE AWARE THAT BY SIGNING THIS RELEASE I/WE AM/ARE WAIVING CERTAIN LEGAL RIGHTS THAT
I/WE MAY HAVE ON BEHALF OF MY/OUR CHILD AND/OR MYSELF/OURSELVES TO BRING LEGAL ACTION
AGAINST THE DOUGLAS COUNTY SCHOOL DISTRICT. I/WE SIGN IT KNOWINGLY AND VOLUNTARILY AND
OF MY/OUR OWN FREE WILL.