Outdoor Adventure Program Participant Agreement and Release of Liability
Activity:
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Date of Activity:
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I understand that while the Outdoor Adventure Program strives to provide a safe and enjoyable experience, participating in outdoor activities can be dangerous. Such activities pose a risk of emotionalor physical injury, including the possibility of serious bodily injury or death. I also understand thatdamage to property may occur incident to my participation in this activity.In consideration of my application, and permitting me to participate in this event; I hereby take action formyself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive,Release, and Discharge from any and all liability for my death, disability, personal injury, propertydamage, property theft, or actions of any kind which may hereafter accrue as a result of my participationin or travel to and from this event; THE FOLLOWING ENTITIES OR PERSONS: The United States AirForce, Vance AFB, and the Outdoor Adventure Program to include their directors, officers,employees, volunteers, representatives, and agents, the event holders, event sponsors, event directors,and event volunteers (hereinafter collectively referred to as “OAP”); and (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claimsmade by other individuals or entities as a result of any of my participation in, and travel to and from this event.
I understand that there are risks associated with outdoor activities which include, but are notlimited to: severe sunburn, dehydration, heat stroke, hypothermia, frost bite, lightning strike,animal attack, drowning, and injuries caused by terrain, facilities, equipment, or other people. Ivoluntarily accept these risks along with any and all similar risks. I understand that each activity I am about to participate in poses unique risks inherent to eachactivity. I understand the nature of the activities I will participate in and the associated risks. Ivoluntarily accept these risks along with any and all similar risks. I understand that the proper use and wear of safety equipment can greatly reduce the risk of injury. I agree to wear and/or use appropriate safety equipment as directed by law or the OAP staff. I understand that this activity may be physically strenuous and requires a certain level of physical fitness. I am in good physical condition, can meet the rigors of this event, and have not been advised otherwise by a physician. I assume the risks of any medical conditions I may have. I agree to use all provided equipment and supplies as intended and instructed. I also understandthat I may be held responsible for the repair or replacement of any equipment, supplies, orfacilities that are lost or damaged as a result of my participation in this event. I certify that I have adequate insurance to cover any injury or damage I may cause or sufferwhile participating in this event, or agree to bear such costs myself. I understand I may come into contact with known and unknown diseases or illnesses whileparticipating in this activity. I agree to hold harmless the aforementioned entities in thisdocument, and follow any safety measures required by the OAP, local, state, or federalgovernment to limit contact with and the spread of these diseases or illnesses during myparticipation in this activity.
Participants Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Emergency Contact
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First Name
Last Name
Emergency Contact's Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
By signing this document, I agree that I understand the potential risks associated with this OAPactivity and voluntarily accept them. I also acknowledge that if anyone is hurt or property isdamaged during my participation in this activity, or travel to or from it, I may be found by a courtof law to have waived my right to maintain a lawsuit against the United States Air Force,Vance Air Force Base, and OAP on the basis of any claim from which I have released themherein. I have had sufficient opportunity to read this entire document. I have read and understoodit, and I agree to be bound by its terms.
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