Moon Shine Adventure Waiver
City / Town
I hereby release and hold harmless the Summit Land Conservancy/Mountain Trails Foundation, their staff, volunteers, and Board members from any harm or injury I or my minor may incur as a participant in any Summit Land Conservancy/Mountain Trails Foundation activity.I am aware that I will be engaging in activities that involve risk and serious injury, including permanent disability and death, and severe social and economic losses, which might result from my actions, inactions, or the negligence of others. Further, that there may be other risks not known to me or not reasonable and foreseeable at this time.I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue Summit Land Conservancy/Mountain Trails Foundation or their employees, Board members, or agents for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of their Board members, employees, or agents. I HEREBY RELEASE SUMMIT LAND CONSERVANCY/MOUNTAIN TRAILS FOUNDATION AND THEIR BOARD MEMBERS, EMPLOYEES, AND AGENTS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND LEGAL REPRESENTATIES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN THE PROJECT OR OTHER ACTIVITY.I UNDERSTAND THAT IF I AM INJURED IN THE COURSE OF THE PROJECT, I AM NOT COVERED BY SUMMIT LAND CONSERVANCY’S/MOUNTAIN TRAILS FOUNDATION’S WORKERS; COMPENSATION PROGRAM. I authorize Summit Land Conservancy/Mountain Trails Foundation to seek emergency medical treatment on my behalf in case of injury, accident or illness to me arising from my involvement as a participant. I understand that I will be responsible for medical costs incurred by such an accident, illness or injury.I authorize and give my full consent to Summit Land Conservancy/Mountain Trails Foundation to copyright and or publish any and all photographs, videotapes, and or film in which I appear while attending any Summit Land Conservancy/Mountain Trails Foundation activity, program, or event. I further agree that Summit Land Conservancy/Mountain Trails Foundation may transfer, use or cause to be used, these photographs, videotapes or films for any exhibitions, public displays, publications, commercial, and advertising purposes without limitation or reservations.I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND SIGN BELOW OF MY OWN FREE WILL.
By clicking this box, I acknowledge and accept the above stated terms and conditions.
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