PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING ACKNOWLEDGEMENT, RELEASE, AND AUTHORIZATION FOR MEDICAL TREATMENT:
Safety is our top priority at Strong Roots. We (administrators, guides, assistants, volunteers, members of the Izaak Walton League, guest presenters) will do our absolute best to ensure safety and oversee activities as well as instruct in an in-depth manner regarding any potential hazards/risks, but sometimes things happen. The release below is acknowledgement of this reality and by signing this release, you are assuming the risk and releasing Strong Roots and all affiliated parties including administration, guides and volunteers as well as The Izaak Walton League (all of the forementioned are released parties), and waiving your right to sue CAN if or when a difficult situation arises.
I am familiar with the program for which my child/children are registering. I understand that this program involves activities of a physical nature that will take place in an outdoor environment, and may include hiking on trails and rough terrain, and in the vicinity of bodies of water, playing with natural materials like sticks, climbing, and being exposed to natural pests like ticks, poisonous plants and mushrooms, etc. They will be carefully monitored and given clear boundaries, but the nature of the program does allow for exploration and some independence.
I also understand that the children will be instructed in the use of real tools which are sharp and could cause harm. (knives for whittling, chopping veggies, etc. axes or mallets for chopping wood, hammers, hand drills, etc.) They will be carefully instructed and monitored but there is still risk. Children will be using them themselves and around other kids using them as well. I know that fire is a regular part of class and that the children will learn to start and maintain a fire. I further understand that there are risks associated with these kinds of activities.
I acknowledge that I willingly choose for my child to participate and benefit from participation in the Strong Roots Program. As a condition of participation in this program and/or the use of Strong Roots’/Izaak Walton League’s equipment and/or facilities, I agree that I will be fully responsible for any and all personal injuries that my child may incur, property damage, loss of personal property, or any other loss that may result from my child’s participation. I agree not to hold Strong Roots or the Izaak Walton League responsible, and their respective agents, independent contractors, and employees, to the fullest extent permitted by law, for any damages, liabilities or expenses that result from participation in this program and/or the use by the participant of any Strong Roots/Izaak Walton League facilities and/or equipment including but not limited to death, bodily injury, illness, economic losses, loss or damage of property.
I hereby give permission to personnel of Strong Roots to authorize any x-rays, tests, procedures, anesthetic, surgery or treatment on behalf of, and to provide or arrange for any transportation of my child as may be required in the event of an emergency. If I, or the emergency contacts designated, cannot be contacted, I hereby give permission to a licensed physician, or other qualified health care provider as may be appropriate, to administer such treatment to my child, the participant, as may be necessary under the circumstances, including the hospitalization of my child. Any costs incurred by these actions are the responsibility of the family and not Strong Roots.
In the case of a sting, Strong Roots guides will use the following procedure. When a child is stung, they will be given a plantain salve and observed for any discomfort. If there is local swelling/discomfort, the child will be given apis, a homeopathic for treatment and parents will be notified. If the discomfort worsens and the reaction becomes more severe, Benadryl will be administered and we will continue to monitor and call 911 for help if needed.
I understand that my child may be treated medically if deemed necessary and I release the medical personel, guides, volunteers or anyone else that is assisting my child in case of an emergency of any claims which may arise on account of any first aid treatment resulting from an injury due to participation in Strong Roots.
I understand that participation in group activities includes potential risk of exposure to illness and infectious disease, including but not limited to covid. Although we are mainly outside where germ spread is less likely, there are emergencies/weather that bring us indoors, there are still risks of contracting COVID and/or other illnesses. I accept all risk of my child potentially contracting COVID and other illnesses and in no way hold Strong Roots or the Izaak Walton League liable if my child becomes ill due to exposure in classes.
I understand fully that participation in Strong Roots is a voluntary activity that may result in personal injury (including death) and potential property damage. I am assuming all risks while attending and assume any and all risks and dangers that occur. I agree that the released parties are not responsible for any injury or damage that results due to my attendance. By signing this waiver I am releasing liability of all claims against Strong Roots, including the director, guides, volunteers as well as anyone affiliated with the Izaak Walton League.
MEDIA/ARTWORK AUTHORIZATION: I agree that any photographs or digital images taken by Strong Roots personnel of my child as a program participant, and copies of artwork made by my child while a Strong Roots program participant, shall be the property of Strong Roots, and may be used by Strong Roots, at its discretion, for any publicity, education, marketing and/or advertising purposes and I hereby consent to and authorize such use without restriction. Permission will be asked if a name will be published with the photo or the artwork in a public document. I do give permission for these photos and artworks to be a part of any Strong Roots publications along with the name of my child.