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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