ANNUAL RELEASE AND INDEMNITY AGREEMENT

I, (print name) ________________________________________________, hereby state

that I wish to participate in trips and/or activities offered by CAI-PNW, a nonprofit,

volunteer organization. I recognize any outdoor activity may involve certain dangers,

including but not limited to the hazards of traveling, whether in the USA or in a country

other than the USA, traveling in a mountainous terrain, the risk of accident or illness in

remote places, force of nature, and the actions of participants or other persons. I further

acknowledge and agree that CAI-PNW would not be able to offer its trips and activities

absent the protections afforded by this Release and Indemnity Agreement.

Therefore, in consideration of the right to participate in travel and/or other activities

offered by CAI-PNW, I hereby RELEASE, HOLD HARMLESS AND INDEMNIFY

CAI-PNW and its officers, trip leaders and members from any and all liabilities, claims

and causes of action arising out of or in any way connected to my participation or the

participation of any minor on whose behalf I sign this Agreement, in any activities

offered by CAI-PNW. I personally assume all risks in connection with these activities.

If I am signing on behalf of a minor, I represent that I am the parent or legal guardian of

such minor. I further agree to HOLD HARMLESS AND INDEMNIFY CAI-PNW and

its officers, trip leaders and members from any and all liabilities, claims and causes of

action of such minor arising from the minor’s participation in activities offered by CAI-

PNW.

The terms of this Agreement shall be binding on my heirs, executors, administrators,

successors and assigns. (Parents or legal guardians must sign for all persons under

eighteen (18) years of age.)

I have read this RELEASE and INDEMNITY AGREEMENT and have fully informed

myself of its contents before signing.

Signature of Participant:

__________________________________________________ Date _________________

Signature of parent/legal guardian if participant is under 18 yrs.

__________________________________________________

___________________________________or___________________________________

Printed name of parent or guardian                  Printed name of minor participant.

8/20/2018

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