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Fort Wilderness - Risk Form
Fort Wilderness Waiver
Fill out this online form to sign Fort’s Risk Form.
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Please list all individuals (first and last names) registered under your reservation.
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Date Range of Retreat Attended
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Acknowledgement of Risk Form
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I agree to the Agreement & Acknowledgement of Risk
Fort Wilderness Ministries (FWM)
Participant’s Agreement & Acknowledgement of Risk
Although Fort Wilderness Ministries (FWM) has taken reasonable steps to provide you with Staff, equipment, and appropriate support so you can enjoy our programs and activities, these activities are not without risk. Certain risks cannot be eliminated without destroying the unique character of the activity, which could result in, but not limited to, the following: loss or damage to your equipment, financial damage, sickness (including communicable diseases), emotional stress, bodily and/or personal injury, a potential for permanent disability and even death. It is important for us to inform you of the inherent risks.
In consideration for the opportunity to participate in the registered event, and the services of Fort Wilderness, its staff, volunteers, and all other persons associated with its ministry, I, the undersigned on behalf of my family and all those under my care, agree as follows:
The participant(s) named above are physically able to participate in all camp activities and to my knowledge does not have an illness or any communicable disease which could be passed on to staff or other campers
– I accept and acknowledge that many of the activities at FWM has a known and unknown associated risk and I voluntarily accept the risks described above with participation in and transportation to such activities
– I accept personal financial responsibility for any injury or other loss sustained during any and all activities or during transportation to and from the activities, as well as for any medical treatment that is authorized by FWM and rendered to the participant(s) named above
– I release and promise to indemnify, defend, and hold harmless FWM for any injury or adverse consequence arising directly or indirectly from participating in any and all activities or transportation to and from the activities, whether such injury arises out of the actions of FWM, the participant(s) named above, or otherwise
– I give FWM permission to use the image(s) of the participant(s) named above for promotional materials, which may include use in social networks & websites
-For any minors other than my children, I am asserting to FWM that I am acting as their guardian and I assume all responsibility and liability for the minor(s).
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