Participant Release of Liability and Assumption of Risk Agreement
PLEASE NOTE: EACH PARTICIPANT MUST COMPLETE THIS FORM.

PARENTS: PLEASE COMPLETE FOR EACH CHILD UNDER 18 YEARS OF AGE.

In consideration of participation in hiking with Canyons of the Ancients National Monument I, the undersigned (designated as a checked box), acknowledge, appreciate, and agree that:
Participant's First and Last Names: *
Participant's Phone Number (please include area code): *
Participant's Email: *
Please state any health issues pertaining to sun exposure, heat, cold, allergies, heart, breathing, or other issues you would like your guide to know in advance of your hike. *
*
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Required
COVID-19 Health Questionnaire
Southwest Colorado Canyons Alliance cares about your (and our) health in this difficult time. Please complete this questionnaire for each participant prior to your tour.

You will be required to bring and wear a face mask when coming within 10 feet of your guide. You will be required to bring and use hand sanitizer. Upon arriving at your meeting point your guide will take your temperature using a non-touch thermometer.
Do you currently have any of the following symptoms? Check all that apply: *
Required
Have you been in contact with anyone who has a confirmed case of COVID-19 in the past 14 days? *
If you are a healthcare provider and the answer is YES, was this exposure without proper personal equipment (PPE)? *
I agree that Tours by SCCA has a proper sanitation and disinfection plan in place and is not responsible for any accidental transmission of COVID-19 that could occur by touring with their business or within close proximity of each other. *
I agree that if I become symptomatic within 14 days of my visit, I will notify Tours by SCCA immediately. *
I understand that any dogs that I have must be under control and leashed when visiting archaeological sites. *
Required
Emergency Contact: *
Emergency Contact's Phone Number (please include area code): *
By participating in hiking activities, I consent to the use of photographs, pictures, film, or videotape taken of me for publicity, promotion, television, websites, or any other use, and expressly waive any right of privacy, compensation, copyright, or other ownership right connected to same. Please check if you agree.
For parents/guardians of participants of minor age (under 18):This is to certify that I, as parent/guardian of this participant, do consent and agree to his/her release as provided above of all Releasees and, for myself, my heirs, assign, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in this activity as provided above, even if arising from the negligence of the releasees, to the fullest extent permitted by law. *
Required
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