• Restorative Nature Immersion Group

    Release Form
  • During this one-hour immersion in nature, participants will connect with the natural world in an intentional way through a variety of invitations. The experience will be a slow wandering through very accessible nature areas right around downtown Los Alamos.

    This is a one-time release form and does not have to be completed each time the middle or high school teen participates. However, the release form must be on file with JJAB for the youth to participate.

    Walks will be held on the 1st and 3rd Wednesdays of each month (schedule is on the JJAB website).  Participants will meet at 4 pm at the JJAB Office at 1907 Central Avenue. 

    The walk will be lead by a certified* JJAB employee and will last approximately one hour.  The group will visit locations like Ashley Pond, Fuller Lodge, various trail heads, and other green spaces that are within walking distance of our downtown offices.  Participants will not be transported to locations.

     

    *Currently, two JJAB employees have provisional certification.  Full certification is expected in May, once their final course requirement is complete.

  • Phone numbers and emails will only be used to send reminders to the participant of upcoming outing dates and/or designate new location meet-ups.

  • Format: (000) 000-0000.
  • In consideration of the services of Los Alamos JJAB, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf, I hereby agree the following:

    1. The walks will involve physical exertion. I acknowledge that outdoor activities in natural areas entail known and unanticipated risks that could result in physical or emotional injury, damage to my child, property, or 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; heat exhaustion, sunburn, dehydration; and exposure to potentially dangerous wild animals, insect bites, and hazardous plant life.
    2. I expressly agree and promise to accept and assume all risks associated with this activity. My child's participation in this activity is purely voluntary, and I elect for them to participate.
    3. I certify that I have adequate insurance to cover any injury or damage my child may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition my child may have.
    4. I agree to notify or have my child notify the JJAB employee guiding the group of any medical conditions my child may have that would limit their participation in the outings.
    5. I hereby authorize the Los Alamos JJAB to publish the photographs taken of my child, for use in JJAB's printed publications, website, and social media for the purpose of promoting their programs.  I acknowledge that, because participation in publications, websites, and social media produced by JJAB is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication, website, or social media platform produced by JJAB confers no ownership rights whatsoever.

     

  • Format: (000) 000-0000.
  • Date
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    2 digit month, 2 digit day, 4 digit year
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