GEOLOGY OF LA PLATA MOUNTAINS REGISTRATION FORM

GEOLOGY OF THE LA PLATA MOUNTAINS

With Dr. David Gonzales, Fort Lewis College
TRIP INFORMATION

Date: Sunday, September 22^nd, 2024. Meet at 8:30am at DoubleTree parking lot, form carpools and leave by 9am. Return by 5pm.

Leader: Professor David Gonzales

Organizer: Jim Corken

Fee: $15/member

Limit: 5 drivers w/high clearance, 4WD vehicles / 15 riders

Waiting List: After the participant limit is reached, people trying to register will get a message that the form is unavailable, and to fill in the waiting list form. Waitlisted people will be contacted as cancellations occur. They have 24 hours to register or the slot is offered to the next person on the list.

Cancellation policy: $13 refund to registrants who drop out or if FCGS cancels trip.

Transportation: Carpools. 5 drivers with high clearance, 4WD vehicles to carry 3 passengers each.

Food: Bring your own snacks and water.

More Information: Registrants will receive trip handouts by email.

Contact: Please contact Jim Corken, 970-759-2567 cell, if you have questions.
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MEMBERSHIP REQUIREMENT

ALL participants on an FCGS field trip must be current members of the FCGS. This is an insurance requirement. If you need to join or renew to go on this trip you will also receive membership for the 2024-2025 dues year (runs 6/1/2024 - 5/31/2025).

Students who are currently enrolled in a geosciences program receive free membership but they must formally join the society by filling out the online application on our website.

Please follow the link below to join or renew your membership:

https://fourcornersgeologicalsociety.org/membership/

Waiver and Release of Liability, Geology of La Plata Mtns. Field Trip

LaPlata Mountains Field Trip, September 22nd, 2024.
Please enter your full name.*

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I hereby state that I wish to participate in the Four Corners Geological Society field trip in and around Durango, CO. I understand that the F.C.G.S. is not a professional outdoor organization. The individuals organizing and leading field trips are providing this service as unpaid volunteers. I recognize, and accept, that any outdoor activity may involve certain dangers, including but not limited to the hazards of falling rocks, temperature, weather, accidents or illness in remote locations, lack of hydration, forces of nature, insects, animals, motor vehicles as driver and passenger, and the actions of participants and other persons.

RELEASED PARTIES: By executing this release and waiver of liability and indemnity agreement, I voluntarily agree to forever release and discharge the following parties: F.C.G.S. directors, officers, agents and trip leaders, trip organizers and any public entity or public employee (whether paid or volunteer) that assists in presenting, organizing and promoting F.C.G.S. field trips.
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RELEASE FROM LIABILITY: I hereby fully and forever discharge and release the Released Parties from any and all liability, claims, demands, losses, and causes of action whatsoever arising out of any damages, whether in tort or contract or under any statute of any nature, both in law and in equity, including claims for personal injury or death to me or damage to my property arising from the passive or active sole or concurrent negligence or other fault of any of the Released Parties, including but not limited to any claims or losses resulting from any activities in which I may engage during the F.C.G.S. field trip event, including but not limited to operating any motorized vehicle , as a passenger in any motorized vehicle, or from any other cause that may arise during the event.
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CONTINUATION OF OBLIGATIONS: I agree and acknowledge that the terms and conditions of the above provisions shall continue in full force and effect indefinitely even upon conclusion of the F.C.G.S. field trip. I further agree that my heirs, executors, administrators, successors, assigns and personal representatives, or anyone else claiming on my behalf, shall not initiate any lawsuit, cause of action or claim for damages against any of the Released Parties.
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MODIFICATION OF AGREEMENT: This agreement cannot be modified orally and a waiver of any provision shall not be construed as a modification of any provision herein, as consent to any other provision herein, or as consent to any subsequent waiver or modification.
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I have fully informed myself of the contents of this Waiver and Release of Liability by reading before I have signed it.
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GEOLOGY OF THE LA PLATA MOUNTAINS

Waiver and Release of Liability, Geology of La Plata Mtns. Field Trip

Confidential Medical Form

REGISTRATION AND PAYMENT