I acknowledge that my participation in a Juniata College Registered Student Organization (RSO) for the 2021-2022 academic year includes known and unanticipated risks, which could result in physical or emotional injury, and I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

I understand that all College policies apply during my participation and I accept responsibility for following these policies. I also understand that I am participating in this program at my own risk, and that Juniata College is not responsible for the consequences of my actions or behavior. I will consult with the Trip Leader if any problems arise during my activity.

I hereby represent that I am in good health, and I shall adequately inform Juniata College personnel of any special instructions or medical needs regarding myself prior to participation. I certify that I have adequate medical insurance to cover any injury or damage that I may suffer while participating, or else I agree to bear the costs of such injury or damage myself.

I authorize Juniata College personnel to call for medical care to transport me to a medical facility or hospital if, in the opinion of such personnel, I need medical attention. I further authorize appropriate personnel to render such medical treatment as is necessary for the health of myself, in their professional opinion. I agree that once I am in the care of medical personnel or a medical facility, Juniata College shall have no further responsibility for me, and I agree to pay all costs associated with such medical care and transportation.

By my agreement to participate in this program I confirm that I understand the risks with regard to traveling and participating in this activity and I shall not hold Juniata College, its agents, employees or representatives liable for any damages or losses arising from my participation in the program. Further, I will indemnify and hold Juniata College, its agents, employees or representatives harmless from any damages or losses arising from my participation in the program.

I represent that I am at least eighteen years of age or, if not, that I have secured the permission of my parent or guardian as well as my own.