Waiver & Release Form

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WAIVER AND RELEASE FORM (Revised 8/16/07)

Hike Description:

 

Assumption of Risk: Certain risks are inherent in any Mountain High Hikers activity.  Each MHH member, guest, or non-member participant agrees to accept personal responsibility for his/her safety and the safety of minors accompanying such persons.  MHH cannot ensure the safety of any participant of hikes or activities.  Each participant agrees to hold harmless and free of blame the hike or activity leader and the MHH, its officers and members for any accident, injury, or illness which might be sustained from participating in hikes or other MHH activities. 

Neither the MHH nor landowners are in any way liable for any injury or illness I might sustain while participating in a MHH activity.  I will and do hereby assume the above-mentioned risks and will hold harmless the MHH and the Hike or Activity Leaders from any and all liability and claims of every kind and nature whatsoever, which may arise from or in connection with my participation in these activities.

I DO HEREBY CERTIFY BY MY SIGNATURE THAT I HAVE READ, DO UNDERSTAND, AND DO AGREE TO THE ABOVE-MENTIONED TERMS.

 

Signature

Member (M) or Guest (G)

Emergency Phone Number

Medical Problems and Allergies

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Amendments:  If you are being asked by a non-member of the MHH to attend a scheduled hike, please be very specific in the description of the hike you are leading, e.g. distance, elevation gains and/or losses, terrain, footing, hiking speed, and so on.  Learn about the hiking experience of that person. Be firm in your judgment.   You may recommend a shorter hike.

 

Please record the actual hiking time:                 Started:                      Finished:             
How would you describe the footage?                                                 (Easy = 1,2,3,4 = difficult)
Should the rating of this hike be modified?                                         (Easier = ‘- ‘ ,  more difficult = ‘+’)
Please report any Incident:

 

Signature of Hike Leader:                                                                                        Date: