Cal-Wood Retreat Waiver

Cal-Wood Retreat Waiver

Please fill out the following information so that we can safely keep track of individuals that will be on Cal-Wood property. If you are under 18 years of age, please have a parent or guardian complete the following information on your behalf.
Please select one of the following options
If you are a parent or guardian, please list your name
Visitor's Name

First NameLast Name
Visitor's Birthday

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Zip Code
What day will you be visiting Cal-Wood?

MonthDayYear
Date
If you will be staying overnight, what day are you leaving Cal-Wood?

MonthDayYear
Date

Emergency Contact Information
Name of Emergency Contact
Emergency Contact's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Policy Agreement
Medical Authorization and Authorization for Medical Treatment

I accept that neither the instructors, nor the hosting facility, are liable for any injury, or damage, to person or property, resulting from my participation in this retreat. I assume full responsibility for the information provided regarding my health and will be responsible for any decisions made regarding participation in the activities at Cal-Wood Education Center. I will notify Cal-Wood of any changes in my health status that arise after the signing of this document. I grant permission to the Cal-Wood staff to call a doctor or emergency medical service and for the doctor, hospital, or medical service to provide emergency medical or surgical care in case of an emergency. It is understood that the Cal-Wood staff will make a conscious effort to locate the emergency contacts listed on this form. If it is not possible to locate the mentioned emergency contacts, I will support the decisions of the Cal-Wood staff and accept the expenses of emergency treatment. *Note: Cal-Wood's accident insurance policy provides supplementary coverage for all participants.

Photography Authorization

I accept that any photographs taken by Cal-Wood staff of the participant will be the property of Cal-Wood and may be used by Cal-Wood at its discretion for advertising, marketing, and publicity purposes, and hereby give my consent and authorize such use without restrictions.

Liability Waiver

I understand the nature of the Cal-Wood Education Center and that there are inherent risks in outdoor activities. Additionally, I release Cal-Wood and all members of its staff, individually and collectively, from any liability or obligation for medical expenses or other healthcare costs and agree to waive any claims, demands, or expenses, including attorney's fees, arising from any injury, illness, or other disorder of any kind that the participant may suffer as a result of attending a program at Cal-Wood Education Center.

Waiver Agreement

By typing your full name below and submitting this form, you acknowledge that you have read, understood, and agree to the terms and conditions outlined in this waiver. You understand that typing your name serves as a legally binding digital signature and confirms your consent to participate under the terms stated.
Signature
Date

MonthDayYear
Date
Should be Empty:

Emergency Contact Information

Policy Agreement