I am the parent/guardian of the above-noted child (fill in provided space above), who intends to participate in the Fit by Nature program. I hereby consent to the participation of my child in the Program and release Mary Cole and Volunteer Helpers from and against any and all claims, including injury to person, or for death, or from loss of, or damage to, property in any way connected to such participation. Further, I agree to indemnify and hold harmless each of the Released Parties, and all of them, from any liability they may incur as a result of my child's participation.
I fully understand and acknowledge that:
1) risks and dangers exist by virtue of the nature of the Program activities of hiking, climbing, and outdoor game activities
2) such activities, my child's use of equipment related to, and/or participation in such activities may result in injury or illness or death or damage to personal property
3) these risks and dangers may be increased and damage may occur due to the actions of other participants, or by accidents, forces of nature, or other causes
I understand that such risks may arise from foreseeable or unforeseeable causes and that such risks cannot be eliminated without jeopardizing the essential qualities of the activity. I hereby knowingly and voluntarily accept and assume these risks and dangers and the risks of illness, injury, or death or damage to personal property on my behalf and on behalf of my child noted above.
In a medical emergency, I grant Mary Cole permission to 1) take my child to hospital via motorized vehicle or ambulance and 2) authorize examination and treatment or injuries, x-rays, and any other necessary care for my child.
It is my intention that this release shall be interpreted broadly and inclusively as permitted by law and that it shall be binding on my child, my spouse, all of the members of my family and their heirs, executors, and assigns.
