Applicant Name:*

First NameLast Name

Sign up early, first-come first-serve. But applications are accepted anytime, preferably at least two weeks prior to any given trip. If last minute, be prepared to supply your own food depending on Ascend's ability to provide.

For optimum volunteer recruitment, join for any and all days. Just let Ascend know & we'll work with you.

Trips are designed to accommodate all experience levels, but participants are expected to complete stewardship tasks and work in a group setting. Serious applicants only, please. See our Cancellation & No-Show policy. Space is limited, sign up early!

Adult Stewardship (Select the trips you are interested in)

Sept 27-Oct 3 ● Location coming soon. Either Boulder Lakes Area, Poison Canyon, and/or nearby trails. Adult Backcountry Stewardship

If you can only join for part of a trip, that's fine! List available dates.

Children under 16 must be accompanied by an adult. Please name child accompanying adult. (All participants must fill out applications).

Applicant's Information

Applicant's Age*

Birthdate*

Preferred Pronoun(s)*

Phone Number*

Please enter a valid phone number.

Do you receive texts?*

YesNo

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Is email a good way to reach you?*

YesNo

Would you like to receive our email news?*

YesNo

How did you hear about Ascend Wilderness Experience?*

Emergency Contacts

*Emergency Contact Person # 1 (Name, Address, Phone Number, and Relationship)*

*Emergency Contact Person # 2 (Name, Address, Phone Number, and Relationship)*

*Permission for Medical Treatment: Administrative procedures vary among medical personnel and medical facilities with regard to the provision of medical care. The exact procedure required by the physician or hospital to be used in emergencies should be verified in advance. All participants should have health insurance; if you are injured on the project, you are responsible for all medical evacuation expenses. In case of an accident or an emergency, I authorize a staff member or contractor of Ascend Wilderness Experience to take me to the above-named physician or to the nearest emergency hospital for such emergency treatment and measures as are deemed necessary for my safety and protection, at my expense. *

PERSONAL DISCLOSURES, MEDICAL INFORMATION, and MEDICAL RELEASE

(All medical information is confidential)

1. Are you under treatment for any illness or conditions? If yes, please describe.*

2. Are you currently taking any medications? If yes, please describe. *

3. Adult trips with Ascend include opportunities to do volunteer stewardship projects. Our All-Ages trips are designed for beginners, and are much simpler. But our adult-only trips can be arduous. Are you able to participate physically and mentally to help with trail reconstruction/maintenance and basic use of hand tools? And/or if you cannot participate fully, what are you limitations so that we may accommodate you?*

4. Do you have any allergies to medications, foods, or insects? If yes, please describe. Other dietary restrictions?*

5. Do you have any pre-existing medical conditions that may affect your ability to participate in the wilderness activities? Examples include, but are not limited to: heart disease, previous heart-attack or stroke, seizures, respiratory problems, or any other condition that limits your ability to participate in strenuous exercise. If yes, please describe. *

I have answered the above questions accurately and completely. I hereby grant permission for the performance of any emergency medical treatment that may be required in the case of an accident wherein I am rendered unconscious or unable to approve the required medical treatment. In the event that I become the victim of an accident I will hold the Ascend Wilderness Experience harmless from liability or negligent actions which may arise in connections with the rescue, stabilization, evacuation, transportation, and emergency care I receive while secondary aid resources are being sought. *

RELEASE WAIVER OF LIABILITY, INDEMNITY AGREEMENT

I am aware that during the Ascend Wilderness Experience activity in which I am enrolling, I will be exposed to certain risks and hazards which could result in property damage, personal injury, or death.

In consideration of being permitted to enroll in and participate in the outing, class instruction, or other activity, I agree to the following:

1. I hereby release, waive, discharge and covenant not to sue the Ascend Wilderness Experience, their directors, officers, employees, contractors, associated coalition agencies and agents(hereinafter, referred to as "Releasees")from all liability to me, my personal representatives, assigns, heirs, and next of kin for any loss or damage in any claim or demands therefore, on account of property damage, personal injury, or death, whether caused by the negligence of the Releasees or otherwise, arising out of the outing, trip, class instruction, or other activity.

2. I agree to indemnify, save and hold harmless the Releasees and each of them from any loss, liability damage or cost that they may incur due to my enrollment or participation in the outing, trip, class, instruction or other activity whether caused by the negligence of the Releasees or otherwise.

3. I hereby assume full responsibility and risk bodily injury, death, or property damage due to the negligence of Releasees or otherwise arising out of the outing, trip, class instruction, or other activity. I understand that there are certain risks and dangers that may occur, including but not limited to: exposure of personal injury, rigorous physical activity; such as running, tumbling, and climbing, accident or illness in remote places without medical facilities, forces of nature, and travel by automobile or other conveyances.

4. I further expressly agree that the foregoing Release, Waiver and Indemnity Agreement is intended to be as broad and is inclusive as permitted by the laws of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect.

5. I have read and voluntarily signed the Release, Waiver, and Indemnity Agreement and further agree that no oral representations, statements, or inducements not contained in this document have been made.

6. I agree that while participating in this activity, I agree to conform to all policies of Ascend Wilderness Experience, and to abide by all state and federal laws. I also agree to accept and follow the directions of the outing or activity leader(s) or instructor(s) and to act in a mature and responsible manner. I further agree to follow all facility regulations and adhere to any lodging or camping requirement or precepts. I agree not to leave the group unless first notifying the outing or activity leader. I understand that upon leaving the group, I waive all rights as an outing or activity participant.

By signing here I acknowledge that I have read and understood the Release, Waiver and Indemnity Agreement and acknowledge the risk and agree to all of the above. *

ACKNOWLEDGMENTS of RISK FORM

I recognize the element of risk in any adventure sport or activity associated with the outdoors. I am fully aware of the risks and dangers inherent in backpacking, hiking, swimming, rock climbing, river rafting/kayaking, including but not limited to:

*Exposure to cold water and extreme environmental conditions, becoming lost, and physically injured.

Knowing the risks and dangers, I understand the possible consequences of participating in such activities are as
follows:

*Hypothermia, illness, serious physical injuries, and possibly death.

I certify that I have, or my child has, the necessary skills and abilities to participate in the said activities and assume full responsibility for myself, or my child, for bodily injury, death and loss of personal property and expenses thereof as a result of my, or my child’s negligence in participating in said activities except to the extent such damage or injury may be due to the negligence of Ascend Wilderness Experience.
I also agree that my child, or I will abide by the rules or instructions given to us, either orally or in writing by Ascend Wilderness Experience. I further understand that Ascend Wilderness Experience reserves the right to refuse to allow
any person to participate who is judged by Ascend Wilderness Experience to be incapable of meeting the rigors and requirements of participating in the said activities.

By signing here I have read, understand, and accept the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon me, or my child, during the entire period of participation in the said activities. *

2025 Adult Program Application

RELEASE WAIVER OF LIABILITY, INDEMNITY AGREEMENT

ACKNOWLEDGMENTS of RISK FORM