Denver Tour Club Liability Waivers
Before anyone can attend a field trip with Denver Tour Club their parent/guardian must complete this form.

You are welcome to print this page and submit a hard copy.

Signed waivers are valid until December, 31 2017.

Thank you for reading it carefully.

Daily Preparation
Before arriving, Participants are urged to eat a balanced breakfast. Following are items required each day. Additional items such a swimsuit and towel may be required – parents will be notified of such additional requirements.

・Backpack
・Lunch
・Snacks
・Water bottle
・Weather appropriate attire – layers are encouraged
・Comfortable footwear – we will be doing a considerable amount of walking everyday

Drop Off
The drop off location is in front of the Washington Park Recreation center at 701 S Franklin St. Denver, 80209.

If driving, enter Washington Park at E. Kentucky Ave. and S. Franklin St.

Participants may be dropped off as early as 8:30 AM. We typically depart right around 9:30 AM. Because we take public transportation we are not able to wait for late attendees. If it looks like you’ll be arriving any later than 9:20 AM please give us a call so we can work out an alternate drop off. Participants may only be dropped off at an alternate location after approval from a Tour Guide and may never under any circumstances be left alone.

* Some trips may call for an earlier drop off - details will always be included in the trip description listed at the point of purchase.

Pick Up
The pick up location is the same as the drop off location; in front of the Washington Park Recreation Center. We will return to this location at approximately 4:30 PM. Participants must be picked up no later than 5:30 PM. If picked up any later than 5:30 PM an additional $15 fee will be charged.

Participants will only be released to persons listed as Emergency and Release Contacts. Anyone not listed as such may pick up Participants only when prior written consent has been provided by the parent or legal guardian and when a state issued ID is shown by that person. Please notify person picking up of this policy.

* Some trips may call for an earlier drop off - details will always be included in the trip description listed at the point of purchase.

Inclement Weather
In the event that foul weather disrupts our itinerary any outdoor destinations will be replaced with indoor attractions.
Refunds
Refunds are only issued in instances of documented emergencies. Without documentation or adequate proof a refund will not be issued.

A trip credit may be issued for any reason with at least 48 hours notice.

Injuries
Safety is a primary objective of the Denver Tour Club. All Tour Guides are certified in First Aid and CPR. In the event that a Participant sustains a minor injury (i.e. scraped knee) first aid will be administered. The person picking up the injured Participant will receive an incident report including course of action taken. If the injury produces swelling or needs medical attention a guardian will be contacted immediately. In the event of a medical emergency you will be contacted immediately and the Participant will be taken to the hospital immediately by ambulance.
Illness
In order to protect the well-being of your Participant and other Participants, sick Participants are not permitted to attend tours. Tour guides hold the right to refuse a Participant who appears ill.

You will be asked to pick up your Participant if they exhibit any of the following symptoms or have any of the following conditions/diseases. Every effort to keep the Participant comfortable will be made but they will be excluded from activities for the protection of other Participants.

・Any symptom which inhibits their participation in activities
・Fever (above 100°F under the arm, above 101°F in the mouth, about 102°F in the ear)
・Diarrhea
・Vomiting
・Mouth sores caused by drooling
・Rash with fever, unless a physician has determined, and stated in writing, that it is not a communicable disease
・Pink or red conjunctiva with white or yellow eye discharge, until on antibiotics for 24 hours
・Impetigo, until 24 hours of treatment
・Strep throat, until 24 hours after treatment
・Head lice, until 24 hours after treatment
・Scabies, until 24 hours after treatment
・Chickenpox, until all lesions have dried and crusted
・Whooping cough, until 5 days of antibiotics
・Hepatitis A virus, until 1 week after immune globulin has been administered

Unless

・The Participant's physician signs a note stating that the Participant's condition is not contagious

AND

・The involved areas can be covered by a bandage without seepage or drainage through the bandage

Participants who have been ill may attend a tour when:

・They have been free of fever, vomiting and diarrhea for 24 hours
・They have been treated with an antibiotic for 24 hours
・They are able to participate comfortably in all activities
・They are free of open, oozing skin conditions and drooling
・If a Participant had a reportable communicable disease, a physician’s note stating that the Participant is no longer contagious is required.

Medications
All medications must be handed to a Tour Guide with specific, written instructions. Medications may never be left in possession of a Participant. Every medication administration will be recorded by a Tour Guide.

・Prescription medications require a written note with the Participant's name, dosage, frequency, and time that medication is to be administered and the name and phone number of the primary physician. All medications must be in the original container.
・Non-prescription medications require a note signed by a legal guardian. Non-prescription medication should not be administered for more than a 3 day period unless a written order by the physician is received.

Participant Information
Full Name of Participant 1 *
Your answer
Date of Birth of Participant 1 *
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Medical Conditions/Allergies of Participant 1 *
Your answer
Full Name of Participant 2
Your answer
Date of Birth of Participant 2
MM
/
DD
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YYYY
Medical Conditions/Allergies of Participant 2
Your answer
Full Name of Participant 3
Your answer
Date of Birth of Participant 3
MM
/
DD
/
YYYY
Medical Conditions/Allergies of Participant 3
Your answer
Full Name of Participant 4
Your answer
Date of Birth of Participant 4
MM
/
DD
/
YYYY
Medical Conditions/Allergies of Participant 4
Your answer
Participant Medical Insurance Information
Medical Insurance Company *
Your answer
Medical Insurance or Group *
Your answer
Primary Physician Phone *
Your answer
Guardian Information
If entering information for multiple people please separate by commas and list information in corresponding order with your information first (i.e. your info, other guardians info)
Full Name(s) of Primary Guardian(s) *
Your answer
Email(s) of Primary Guardian(s) *
Your answer
Cell Phone Number of Primary Guardian(s) *
Your answer
Work Phone Number of Primary Guardian(s)
Your answer
Emergency Release Contacts
Anyone not listed below may pick up a member only when prior written consent is given by the primary guardian and when that person shows a state issued photo ID.

Again, if entering information for multiple people please separate by commas and list in corresponding order.

Full Name(s) of Emergency Release Contact(s) *
Your answer
Primary Phone Number(s) of Emergency Release Contact(s) *
Your answer
Email(s) of Emergency Release Contact(s) *
Your answer
Electronic Signatures
Enter your full legal name in the space provided below each section as your legally binding signature.
Parental Consent: The undersigned does hereby give permission for all above listed participants (“Participant(s)”) to attend and participate in any Denver Tour Club activity during the period of Jan 1, 2017 – December 31, 2017. Liability Release In consideration of Denver Tour Club allowing the Participant to accompany the Club on tours and participate in activities, I, the undersigned, do hereby release, forever discharge and agree to hold harmless the Denver Tour Club, its employees and owners, from any and all liability, claims or demands for accidental personal injury, sickness or death as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the Participant while involved in the Denver Tour Club. I, the parent or legal guardian of this Participant hereby grant my permission for the Participant to participate fully in all Denver Tour Club activities including all trips. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify the Denver Tour Club for any liability sustained by Denver Tour Club as the result of negligent, willful or intentional acts of said Participant(s), including expenses incurred attendant thereto. Entering your full legal name here is an acknowledgement that you have read this Parental Consent section in it's entirety and are in total agreement with its contents. *
Your answer
Medical Authorization: I, the undersigned, and guardians of the above listed participant(s), hereby authorize the Staff of the Denver Tour Club to authorize any and all medical treatment for the participant(s) in the discretion they see fit. This includes, but is not limited to, treatment to relieve pain. A photocopy of this authorization shall be deemed effective as if it were an original. This authorization shall remain in effect until January 1, 2017. Entering your full legal name here is an acknowledgement that you have read this Medical Authorization section in it's entirety and are in total agreement with its contents. *
Your answer
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