PLEASE REVIEW LIABILITY WAIVER ATTACHED THIS WILL BE PRINTED FOR YOU THE DAY OF THE COURSE AND NEED TO BE SIGNED PRIOR TO PARTICIPATING. 

BOULDERING AND ROCK CLIMBING RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. Please read and be certain you understand the implications of signing. Express Assumption of Risk Associated with Bouldering, Climbing, and Related Activities. I, _________________________________, do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Bouldering, Rock Climbing, and Related Activities, transportation of equipment related to the activities, and traveling to, from, and within activity sites of which I am about to engage in. Inherent hazards and risks include but are not limited to: 1. Risk of injury from the activity and equipment utilized in Bouldering and Rock Climbing is significant including the potential for permanent disability and death. 2. 3. 4. 5. 6. 7. 8. 9. Possible equipment failure and/or malfunction of my own or others’ equipment. My own negligence and/or the negligence of others, including volunteers, employees, agents, independent contractors or representative of New Mexico Institute of Mining and Technology and the United States Bureau of Land Management, including but not limited to operator error. Injury to hands, fingers, feet and toes, including but not limited to inflammation and/or strains of muscles, ligaments, and/or tendons, nerve damage or compression, and broken bones. Injuries from falling may occur from exposure to high altitude, which may affect judgment and coordination, or from not paying close attention to your climbing or others climbing with or near you. Broken bones, severe injuries to the head, neck and back which may result in severe physical impairment or even death. Discharge of weapons in or near the area of activity. Cold weather and heat related injuries and illness including but not limited to frostnip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration. Exposure to outdoor elements, including but not limited to avalanche, rock fall, inclement weather, lightening, high winds, and temperature or other weather conditions. 10. Attack by or encounter with insects, reptiles, animals, and/or plants. 11. Accidents or illness occurring in remote places where there are no available medical facilities. 12. Fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident. 13. My sense of balance, physical coordination, and ability to follow instructions. *I understand the description of these risks is not complete and that unknown or unanticipated risks may result in injury, illness or death. Release of Liability, Waiver of Claims and Indemnity Agreement In consideration for being permitted to participate in any way in Bouldering or Rock Climbing related activities, I hereby agree, acknowledge and appreciate that: 1. 2. 3. I HEREBY REKEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named person or entities, herein referred to as releasees: New Mexico Institute of Mining and Technology and the United States Bureau of Land Management To release the releasees, their officers, directors, employees, representatives, agents, volunteers, and vessels from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releasees or otherwise. By executing this document, I agree to hold the releasees harmless and indemnify them in conjunction with any injury, disability, death, or loss of damage to person or property that may occur as a result of engaging in the above activities. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement. This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARYILY WITHOUT ANY INDUCEMENT. S/________________________________________________ _________________________________________________ _________________________ Signature of Adult Participant Name of Adult Participant (Please Print) Date FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to their release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to their involvement in these programs for myself, my heirs, assigns, and next of kin. S/_______________________________________________ _________________________________________________ __________________________ Signature of Parent or adult legal Guardian if Name of Parent or adult legal Guardian (Please Print) Participant is a minor, and by their signature, they may on my behalf release all claims that Date ________________________________________________ __________________________