I, {name}, am responsible for my own well-being and safety on this walk as well as the well-being and safety of anyone I register using this form. I acknowledge that outdoor activities in natural areas entail known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself/minors, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.
The risks include, among other things: slipping and falling; falling objects; water hazards; exhaustion; exposure to temperature and weather extremes which could cause hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; and exposure to potentially dangerous wild animals, insect bites, and hazardous plant life; accidents or illness can occur in remote places without medical facilities and emergency treatment or other services rendered; consumption of food or drink; equipment failure; improper lifting or carrying; my own physical condition, and the physical exertion associated with this activity.
I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation and the participation of anyone I register in this activity is purely voluntary, and I elect to participate in spite of the risks.
If anyone I register has a medical condition or health concern that I think Cathy McCauley should be aware of, I will communicate that using this form.
I give my permission to Cathy McCauley to seek emergency medical care for me or anyone I register in the event that I am unconscious or unable to make my own decisions. I understand that should anyone I register need medical care for any reason while participating in this walk, Cathy McCauley's role will be limited to emergency first-aid and either transportation to the nearest medical facility, or contacting such a facility to arrange emergency transport.
I certify that I have adequate insurance to cover any injury or damage anyone I register may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself or anyone I register. I further certify that I am willing to assume the risk of any medical or physical condition anyone I register may have.
I understand that Cathy McCauley, Birdsong Nature Co., is a trained nature and forest therapy guide, not a trained or licensed psychotherapist. Cathy McCauley will work within the scope of nature and forest therapy guide practice and will not treat or make any prescriptions for any mental or emotional illness.
I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Cathy McCauley, Birdsong Nature Co., from any and all claims, demands, or causes of action, which are in any way connected with my participation or the participation of anyone I regsiter in this activity or the use of Cathy McCauley's equipment or facilities, including any such claims which allege negligent acts or omissions of Cathy McCauley.
Should Cathy McCauley or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
This information is accurate and complete.
By signing this document, I acknowledge that if anyone is hurt or property is damaged during the participation of anyone I register in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Cathy McCauley, Birdsong Nature Co. on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.