HIKING RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT Please read and be certain you understand the implications of signing. PLEASE CONSULT YOUR PHYSICIAN BEFORE STARTING ANY ACTIVITY IF YOU HAVE ANY MEDICAL CONDITIONS WHICH MAY INCLUDE BUT NOT LIMITED TO HEART CONDITIONS, SYNCOPE, SEIZURE DISORDER, DIABETES, BACK, KNEES, FEET PROBLEMS, SEVERE ALLERGIES TO POLLEN OR CERTAIN PLANTS. Express Assumption of Risk Associated with Hiking and Related Activities I do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with hiking, transportation of equipment related to the activities, and traveling to and from activity sites, in which I am about to engage. Inherent hazards and risks include but are not limited to:1. Risk of injury from the activity and equipment utilized is significant including the potential for permanent disability and death. 2. Falling, causing broken bones severe injuries to the head, neck and back which may result in severe impairment or even death. 3. All "acts of nature," including but not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature and other weather conditions. 4. Risks associated with crossing, climbing or down-climbing of rock, snow and/or ice.5. Risks associated with river crossings, fording, or portaging. 6. Possible equipment failure and/or malfunction of my own or others' equipment, which may have been rented, borrowed, or personally owned. 7. My own negligence and/or the negligence of others, including employees, agents, independent contractors or representatives of including but not limited to operator failure. 8. Cold weather and heat related injuries and illness including but not limited to frostbite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration. 9. Attack by or encounter with insects, reptiles, and/or animals. 10. Accidents or illness occurring in remote places where there are no available medical facilities. 11. Fatigue, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident 12. My sense of balance, physical coordination, and ability to follow instructions. *I understand the description of these risks is not complete and that unknown or unanticipated risks may result in Injury, illness, or death. Release of Liability, Waiver of Claims and Indemnity Agreement In consideration for being permitted to participate in hiking and related activities, I hereby agree, acknowledge and appreciate that: 1. I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named persons or entities, herein referred to as releases, WORCESTER ISLAMIC CENTER 2. To release the releases, their officers, directors, employees, representatives, agents, and volunteers, from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releases or otherwise.By executing this document, I agree to hold the releases harmless and indemnify them in conjunction with any injury, disability, death, or loss or damage to person or property that may occur as a result of engaging in the above activities. 3. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releases, other than what is set forth in this Agreement. This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable. *
