NOTICE: THIS IS A LEGALLY BINDING CONTRACT. In consideration of Williamsburg Academy of Colorado, its agents, officers, volunteers, participants, employees, affiliates and all other persons or entities acting in any capacity on its behalf (collectively referred to herein as WAC), I hereby agree on behalf of myself, my children, my parents, my heirs, success, assigns, personal representatives and estate as follows:

I HEREBY ACKNOWLEDGE THAT THIS ACTIVITY ENTAILS KNOWN AND UNANTICIPATED RISKS, which could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of this activity. The risks may include, among other things, potential for slips and falls, rope burns, inches, scrapes, twists,  and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions and/or other injuries. Other risks may include transportation to, from, and during the activity, getting lost, lightening, drowning, giardia or any other injury associated with water, chance of getting caught in an avalanche or any type of cold or hot weather injury  including frostbite and hypothermia, heat stroke or exhaustion or even more severe life threatening hazards. During an activity there may be contact with plants, animals or insects that could create hazards such as stinks, allergies, and associated diseases. In addition to the risks listed above, there may be risks specific to this activity, which I accept as they are inherent to this activity. I VOLUNTARILY ASSUME ALL RISKS WITH FULL KNOWLEDGE AND APPRECIATION OF THE DANGER AND RISK INVOLVED.

I release and discharge WAC from any claims or liability for any injuries, death, disabilities or property loss or damage I may sustain while participating in this activity with WAC even if arising out of the negligence of WAC. This release, however, does not extend to loss or damage arising out of intentional acts or from the gross negligence of WAC. I covenant not to make or bring any such claim against WAC, and forever release and discharge WAC from liability under such claims.

I hereby voluntarily agree to indemnify and hold harmless WAC from any and all claims, demands, or cause of action, which are in any way connected with my participation in this activity or my use of WAC equipment or facilities, including such claims which alleged negligent acts or omissions of WAC. Should WAC be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold it harmless for all such reasonable attorney’s fees and costs. I also agree I shall be financially responsible for any expenses incurred or damages suffered by me or any other participant as a consequence of my personal acts or omissions while participating in this activity.

I certify that I have adequate health insurance funds for healthcare costs to cover any injury or damage I may suffer while participating in this activity. I further certify that I have no medical or physical conditions, which could interfere with my safety or the safety of others in this activity. I hereby give consent and authority to WAC to obtain medical treatment on my behalf if I am injured or require medical attention during participation during the activity. I understand and agree that I am solely responsible for all costs related to such medical treatment, medical transportation and/or evacuation. I hereby release, forever discharge and hold harmless WAC from any claim whatsoever in connection with such treatment or medical services. I understand that WAC does not assume for or have an obligation to provide financial assistance or other assistance, including without limitation medical, health, or disability insurance of any nature in the event of an injury, illness or death, or damage to or loss of my property.

In the event that I file a lawsuit against WAC, I agree to do so solely in the State of Colorado, and I further agree that the substantive law of that state shall apply in the addiction without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. I fully realize and accept the responsibility to myself and to the opter participants to carry out all activities according to WAC procedures and in a safe and prudent manner.

I give my permission to use any images taken of me in any media purpose (except pornographic and defamatory) which may include, without limitation, advertising, promotion, marketing and packaging for any product or service.

I agree that I have had sufficient opportunity to read this entire document and to ask questions. I have read and understood it, and I agree to be bound by its terms.

TO BE READ BY PARENT/GUARDIAN OF MINOR I represent or warrant that a) I am the parent or legal guardian of the minor(s) named above, or in the application in WAC’s SIS  b) I have the legal right, power and authority to consent to this agreement on behalf of the minor(s) and myself c) I am at least 18 years of age. I have read and understand this entire agreement. By signing below, I hereby consent to approve in all respects the terms and conditions of this agreement, and agree that both the minor(s) and I shall be bound by all of the terms and conditions. I understand that this consent and approval is not revocable. I agree to defend, indemnify and hold harmless WAC from any and all claims, demands or causes of action which are in any way connected to the minor’s participation in this activity.