2025 High School Leadership Rafting Excursion

Event Name: Summer 2025 High School Leadership Rafting Excursion

Event Location: Hayden Flat- Big Bar, CA
Event Date: July 10-13, 2025

Boys entering 9th-12th grade, join us for our very first white water rafting trip!

Sapce is limited! Registration closes June 8th!

Registration cost is all inclusive! Travel, three nights camping, two full days of rafting adventure, and all meals provided!

After registration is completed and as camp dates approach, an email including frequently asked questions, a list of what to bring or not bring, and more information will be sent to the email address listed on this registration form.

Please reach out if you have any questions!

fathers.tracks@gmail.com

(507)829-9370

Camper's Name*

First NameLast Name

Age*

Grade entering for next school year*

Date of Birth*

Date

Parent/Legal Guardian Name*

First NameLast Name

Relationship to the Minor*

Phone Number 1*

Phone Number 2

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Emergency Contact (other than parent)*

Emergency Contact Phone Number*

Please enter a valid phone number.

Does the camper have any allergies?*

YesNo

If so, please list here:

Insurance Information- Please list: 1. Name of Insurance Provider 2. Policy Number 3. Physician's name 4. Physician's Phone Number*

Does the camper have any medical conditions that we need to be aware of? (Please list here in detail.)

ACTIVITIES COVERED: This release covers all aspects of participation in the rafting trip, including but not limited to: Transportation to and from the event site(s) by car, van, or bus, rafting on rivers with rapids of varying difficulty, swimming and wading in rivers or lakes, camping, including use of tents, cooking over open fires, and outdoor living, hiking, climbing, or exploring rugged or uneven terrain, jumping or diving into water from rocks, cliffs, or other natural features, general outdoor recreation and physical activity, unforeseen or spontaneous activities that may arise during the trip*

Accept

ACKNOWLEDGMENT OF RISKS: I acknowledge and understand that these activities involve inherent risks, including but not limited to: Drowning, hypothermia, or injury from water hazards, falling or injury due to rough or slippery terrain, insect bites, exposure to wildlife, and environmental dangers, heat exhaustion, sunburn, or dehydration, vehicle accidents during transportation, equipment failure or misuse, accidents due to the actions of others or unforeseen circumstances. I understand that these risks may result in serious injury, illness, permanent disability, emotional trauma, or even death.*

Accept

ASSUMPTION OF RISK: I voluntarily and knowingly assume all risks associated with participation in the trip, whether known or unknown, and regardless of how they are caused.*

Accept

RELEASE AND WAIVER: I, on behalf of myself, my child (if applicable), and our heirs, successors, and assigns, hereby: Release Father’s Tracks from any and all liability, claims, demands, actions, or causes of action for any injury, loss, damage, or death arising from or related to participation in the trip and waive any right to sue or make a claim against Father’s Tracks, including for alleged negligence, breach of duty, or unsafe conditions.*

Accept

INDEMNIFICATION: I agree to indemnify and hold harmless Father’s Tracks from any loss, liability, damage, or cost (including attorney fees) arising from participation in the trip, including claims brought by third parties or other participants.*

Accept

MEDICAL AUTHORIZATION: I authorize Father’s Tracks to provide or seek emergency medical care for myself or my child if necessary. I understand I am financially responsible for any such care.*

Accept

MEDIA RELEASE: I grant permission for Father’s Tracks to use photographs, video, or audio recordings taken during the trip for promotional, educational, or social media purposes without compensation or further permission.*

Accept

Parent's Signature*

Date Signed*

Date

Registration Fee*

High School Leadership Rafting Excursion

$250.00 Quantity
Item subtotal:$0.00

Total

$0.00

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