2025 #54 Georgia Expedition

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Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
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Aruba
Australia
Austria
Azerbaijan
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Denmark
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Ecuador
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Falkland Islands
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France
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Taiwan
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Roommate RequestIf you would like to request to stay in a room with someone else on the trip, please specify their name here.
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Family Doctor Address* This field is required.
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
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Austria
Azerbaijan
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Benin
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Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guam
Guatemala
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Iran
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kiribati
North Korea
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Kosovo
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macau
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Isle of Man
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Health Insurance Company Name* This field is required.
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Health Insurance Policy Number* This field is required.
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Health Insurance Phone Number* This field is required.
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Health Insurance Address* This field is required.
Street Address
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City
State / Province
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Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Known Allergies* This field is required.Specify any allergies/drugs you are allergic to
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STRANGE FARMS - RELEASE OF LIABILITY AND COVENANT NOT TO SUE* This field is required.The individual signing below (hereinafter referred to as the “Undersigned”), and if applicable, the Undersigned’s spouse, hereby acknowledge that he, she or they, as applicable, voluntarily agree to participate in one or more dangerous activities including, but not limited to, hunting, climbing trees, sitting in elevated stands, traversing uneven ground during the day and/or night, shooting firearms and archery weapons, physically challenging activities such as running, jogging, swimming, fishing from boats and the shore that may result in drowning, ropes courses, team building exercises that rely on others for your safety, and other miscellaneous dangerous activities (all of which my result in physical or emotional harm to you up to and including maiming and death) (collectively referred to herein has the “Activity”) conducted by STRANGE FAMILY HOLDINGS LLLP, a Georgia limited liability limited partnership, and/or any of its affiliated organizations, and/or any of their respective members, managers, employees, agents, and/or independent contractors, whomsoever, hereinafter, collectively, “Partnership”, such Activity may be video taped for commercial use by Partnership, as it deems appropriate, in its sole judgment and absolute discretion, such Activity may take place either within or without the territorial limits of the United States of America, any and all costs arising from or attributable to the Undersigned’s involvement in such Activity shall be borne, solely, by the Undersigned under a separate agreement with Partnership, and the Undersigned shall save, indemnify and hold Partnership harmless on account thereof. The Undersigned acknowledges that his or her participation in such Activity is voluntary on his or her part, but is absolutely preconditioned on the Undersigned executing the within Release of Liability and Covenant Not To Sue. The Undersigned represents to Partnership that: 1. He or she is in general good health sufficient to withstand the rigors of the Activity. 2. That he or she possess a current, validly issued hunting license from the State of Georgia allowing the harvesting of game animals if hunting is part of the Activity in which the Undersigned shall participate. 3. That he or she is aware that the Activity are dangerous activities and has expressly assumed all risks attendant to the Activity, including, without limitation, exposure to violent weather, rough, insecure and hazardous terrain, the presence of other hunters/participants, wild animals, insects, reptiles, and poisonous vegetation which may be found upon the lands. 4. That he or she will comply with all rules that may be promulgated by Partnership, or by the owner of any property upon which such Activity are conducted (hereinafter “Owner”), regulating the Activity hereunder or thereupon. 5. That he or she will comply with all applicable laws, including, but not limited to, game laws, endangered or protected species acts, land use regulations, preservation of cultural resources, Page 1 of 6 STRANGE FAMILY HOLDINGS LLLP RELEASE OF LIABILITY AND COVENANT NOT TO SUE DocuSign Envelope ID: 5250ECA2-99F1-423F-AFAB-5E567A586D67 burial sites, or other archaeological sites, and the use or manufacture of controlled substances and lawfully capable to possess a firearm. 6. That he or she understands that the privilege to hunt will not be granted unless he or she signs this Release of Liability and Covenant Not To Sue. THE UNDERSIGNED IS AWARE THAT THE ACTIVITY, IN GENERAL, AND THE SPECIFIC ACTIVITIES LISTED ABOVE, IN PARTICULAR, ARE HAZARDOUS ACTIVITIES, WHICH MAYBE INJURIOUS TO THE UNDERSIGNED, AND THE UNDERSIGNED IS VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH FULL KNOWLEDGE OF THE DANGERS INVOLVED AND DOES HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY, ILLNESS AND DAMAGE ARISING THEREFROM, WHATSOEVER. In consideration of being allowed to participate in such Activity, the Undersigned on behalf of himself, his spouse, heirs, distributees, guardians, legal representatives, successors or assignees, whomsoever, agrees to not make any claim against, sue, attach the property of, or prosecute Partnership or Owner for illness, injury or damage to person or property resulting from the negligence or other acts, howsoever caused, by any invitee, licensee, contractor, guest, member, manager, employee, agent, or independent contractor of Partnership or Owner, whomsoever, as a result of the Undersigned’s participation in such Activity. In addition, the Undersign on behalf of himself and such persons listed above hereby releases and discharges Partnership and Owner from any and all actions, claims or demands, whatsoever, that the Undersigned or his heirs, distributees, guardians, legal representatives, executors, successors, or assigns, whomsoever, now have, or may hereafter have, for any illness, injury or damage resulting from the Undersigned’s participation in such Activity. In consideration of being allowed to participate in any way in the Activity, the Undersigned, acknowledges, appreciates, and agrees that: 1. The risk of injury from the activities involved in this program is significant, including the potential for maiming, permanent paralysis, and death. 2. I KNOWINGLY AND FREELY ASSUMES ALL SUCH RISKS , both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (defined below) or others, and assumes full responsibility for my participation. 3. I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 4. By participating in or attending any Activity, whether on or off the premises, I consent to the use of any photographs, pictures, film or videotape taken of me or provided by me for publicity, promotion, television, websites or any other use, and expressly waive any right of privacy, compensation, copyright or other ownership right connected to same. Page 2 of 6 STRANGE FAMILY HOLDINGS LLLP RELEASE OF LIABILITY AND COVENANT NOT TO SUE DocuSign Envelope ID: 5250ECA2-99F1-423F-AFAB-5E567A586D67 5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS STRANGE FAMILY HOLDINGS LLLP , its officers, partners, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (collectively, the “Releasees” or “RELEASEES”), from any and all claims, demands, losses, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I waive, release and discharge any and all claims, whatsoever, for illness, damages for death, personal injury or property damage which I may have, or which may subsequently accrue to me as a result of my participation in such Activity. This release is intended to discharge Partnership and Owner in advance, from and against any and all liability arising out of, or connected in any way, whatsoever, with, my participation in such Activity, even though that liability may arise out of negligence or carelessness on the part of any person or entities, whomsoever. This release shall, however, only be applicable to Partnership and Owner, or to anyone acting by, under, or through Partnership and Owner. The Undersigned understands that serious accidents occur and illnesses may arise while engaged in the Activity and that participants in such Activity occasionally sustain serious personal injuries, illnesses and/or property damage, all as a consequence thereof. Knowing the risks attended to such hunting activities, in general, and hunting expeditions, in particular, the Undersigned, nevertheless, does hereby agree to assume those risks and to release and hold harmless all of the persons or entities mentioned above who, through negligence, carelessness or otherwise, might otherwise be liable to me (or to my spouse, heirs or assigns), for damages, and if applicable, my spouse joins in such assumption, release and indemnification given herein. It is further understood and agreed that this waiver, release and assumption of risk is binding upon me, upon my spouse, as well, and also upon my, and our, respective, heirs, executors, successors, assigns, and personal representative, whomsoever. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE PARTNERSHIP AND I HAVE SIGNED SAME OF MY OWN FREE WILL AND VOLITION. THE UNDERSIGNED SPECIFICALLY RECOGNIZES THAT BY SIGNING IT, HE IS WAIVING ALL CLAIMS AGAINST PARTNERSHIP AND OWNER AND AGREEING TO INDEMNIFY PARTNERSHIP AND OWNER AND TO HOLD THEM HARMLESS FROM THEIR OWN NEGLIGENCE AND ALL OTHER CIRCUMSTANCES THAT MIGHT RESULT IN DAMAGE, INJURY OR DEATH TO THE UNDERSIGNED OR HIS OR HER PROPERTY AND THAT THE UNDERSIGNED HAS OR HAVE VOLUNTARILY AGREED TO BE BOUND BY ALL OF THE TERMS, CONDITIONS AND PROVISIONS OF THIS RELEASE. Page 3 of 6 STRANGE FAMILY HOLDINGS LLLP RELEASE OF LIABILITY AND COVENANT NOT TO SUE DocuSign Envelope ID: 5250ECA2-99F1-423F-AFAB-5E567A586D67 In addition, the Undersigned permits the use of his or her voice, image and name in regard to any videos filmed, produced, distributed, and/or sold by Partnership with respect to any Actvity, in which the Undersigned participates, in any way, whatsoever, under the auspices of Partnership, and which use shall be without remuneration from, or liability on the part of, the Partnership, in any form or manner, whatsoever. The Undersigned specifically agrees that this Release and Waiver shall carry the full authority permitted under the laws of the State of Georgia and that if any provision herein is struck down by a court of competent jurisdiction, the parties agree that the other terms of the this Release and Waiver shall remain in full force and effect and agree that the portion of the Release and Waiver shall be reconstrued to afford Partnership and Owner the most protection from liability afforded under the laws of the State of Georgia. AS OF THE DATE WRITTEN BELOW, I CERTIFY THAT I HAVE READ THIS RELEASE OF LIABILITY AND COVENANT NOT TO SUE, FULLY UNDERSTAND ITS TERMS, AGREE TO BE BOUND BY IT, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND SIGN IT FREELY AND VOLUNTARILY TO MEMORIALIZE MY AGREEMENT WITHOUT ANY INDUCEMENT WHATSOEVER.
Yes
Other
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Agree Not Psychotherapy* This field is required.I hereby voluntarily consent to participate in this event. I understand this event is educational and not psychotherapy or a substitute for psychotherapy.
Yes
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Agree to COVID Risk* This field is required.By clicking submit below, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending the Adventures of the Heart Expedition, you and any guests voluntarily assume all risks related to exposure to COVID-19 and agree not to hold Iron Horse Ranch or Adventures of the Heart liable for any illness or injury.
Yes
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Agree to Activities* This field is required.I understand that the event and its various parts involve mental, intellectual, emotional and physical activity, including, but not limited to: role playing, and exercises that may tax my intellectual, mental, and emotional capacity. I understand that the event and the optional free time activities of paintball, rock climbing, hiking and rappelling may pose a risk of physical or other injury to myself and others. I understand and acknowledge that my participation in the event and the optional free time activities and in every separate part thereof is purely voluntary and that at all times I will be free to choose NOT to participate in any part or all of the event. I acknowledge my responsibility for exercising my own judgment and initiative in choosing what parts of the event, if any, I will participate in. I acknowledge that my choices and actions pose a risk of physical or other injury to myself or others. By this consent I knowingly and voluntarily assume the risk of any physical or other injury either to myself or caused to others by me in the event. I hereby release Adventures of the Heart its officers, directors, employees, agents and staff from any and all liability for physical and other injuries to myself. I hereby agree to indemnify and hold harmless Adventures of the Heart, its officers, directors, employees, and staff from any and all liability for physical and other injuries to myself and for any injury to others caused by me.
Yes
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Assumption of Risk* This field is required.I take responsibility for consulting with a medical doctor and/or psychotherapist prior to participating in the event concerning any known or potential physical, mental or emotional condition which I have or may have, for the purpose of getting medical and/or psychotherapeutic permission to participate. I assume the risk, by this consent, of any physical or other injury, illness or conditions during the event and hereby release Adventures of the Heart its officers, directors, employees, agents, and staff from any and all liability thereof.
Yes
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Authorization to Help* This field is required.4) I hereby authorize Adventures of the Heart, its officers, directors, employees, agents and staff to take any and all reasonable steps on my behalf in the case of any physical or other injury, illness or condition I might suffer during the event. Adventures of the Heart, its officers, directors, employees, agents and staff may apply emergency first aid, engage physicians of any kind, nursing services, ambulance services, paramedic services, or any other service or personnel that in the sole discretion of Adventures of the Heart, its officers, directors, employees, agents or staff may be deemed reasonable or necessary. I hereby agree to indemnify and hold harmless Adventures of the Heart, its officers, directors, employees, agents and staff of and from any and all liability, claims, suits and damages, including, but without limitation, the cost, arising out of or with respect to the engagement of such services and/or personnel on my behalf. Further, I hereby knowingly and voluntarily release Adventures of the Heart, its officers, directors, employees, agents and staff of and from any liability for any physical or other injury that I may suffer as a result of Adventures of the Heart engagement of such services and/or personnel on my behalf.
Yes
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Assumption of Risk / Liability Release* This field is required.By entering my name below, I am aware in signing this document for participation in this program that certain elements of the activity are physically and emotionally demanding. Furthermore, I understand that certain risks and dangers exist in the activities in which I am participating.
First Name
Last Name
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