I, ____________________________________, understand the ChallengeWorks program (“Activity”) in which I plan to be a participant involves certain inherent risks and that regardless of the precautions taken by ChallengeWorks, some bodily injuries may occur. I understand the types of risks associated with this activity include, but not limited to: slipping, tripping, falling, hypothermia (reduced core body temperature), hyperthermia (elevated core body temperature), dehydration, insect bites and stings, snake bites, cuts, scrapes, broken bones, sunburn, blisters, exposure to weather conditions and environmental conditions (dead fall, swift water, and uneven or slippery terrain.) I understand that certain activity may cause suddenly elevated heart rates, which could lead to serious consequences including death if I have heart disease, hypertension, or other conditions affected by surges in heart rate. I understand program leaders are not the guarantors of my safety. My participation in this activity is voluntary.
I agree to follow all instructions and guidelines given by the program leader(s), and to act in a safe and responsible manner toward all participants. I understand program leaders have the discretion to limit or prevent my participation; otherwise, I will choose my own level of participation.
I understand that participation in this activity includes the use of ropes and other climbing equipment. I understand that the use of this equipment carries with it the risk of equipment failure and, of necessity, requires a participant to rely on the cooperation, skill, and ability of other participants which can result in unexpected and unintended consequences. I understand I may choose whether or not to participate in any activity based upon my own personal assessment of my abilities and the risks associated with that activity.
I understand Texas A&M University does not carry medical insurance to cover claims associated with injuries sustained while participating in this activity. I understand any medical insurance covering my injuries must be provided by me. This paragraph does not apply to participants who are employees of Texas A&M University participating in the program within the course and scope of their employment.
I/We (parents or guardians name) _________________________ give permission to our child (Child’s name) ___________________________ to participate in the ChallengeWorks program. In the event of an emergency, I / We request that the program leader(s) secure emergency medical services to aid our child, if it is in their best judgment that such services are necessary. I / we agree to incur any expense associated with such action.