Hike to Mend 2023 Free Registration Form
Join us from 8am-11am at Peter Strauss Ranch on October 7th, 2023 to honor the journey that a parent takes to gain access to surgical care for their child. Help us raise awareness about global health disparity and ensure every child receives the care they need.

Please note that this waiver form is intended for individual usage. If you are registering for multiple people, please fill out one for each hiker, or have the hikers fill it out in person at our registration table on October 7th.

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Below are our detailed instructions regarding the in-person hike on October 7, 2023:
  • Our hike is a 1.7 mile loop ending at the amphitheater for musical entertainment.
  • Do one loop or two carrying a backpack containing food that we’ll provide, drop it in donation bins at the finish and we’ll donate it to the West Valley Food Pantry.
  • Please bring sunscreen and sufficient water.
  • We’ll have light snacks and water provided at registration and a light meal and coffee at the finish. 
  • We happily welcome your dog, on a leash. 

Directions to Peter Strauss Ranch:
  • Location to put in your map: 30000 Mulholland Hwy, Agoura Hills, CA 91301

Parking:
If coming from Kanan: 
  • General parking: cross the bridge on Mulholland and turn right into the parking lot

If coming along Mulholland from Malibu Canyon:
  • General parking: turn left into parking lot immediately before the bridge 

For preferred parking: please purchase our Butterly Package via the link: https://donorbox.org/hike-to-mend-registration-2023
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First Name *
Last Name *
Email *
Phone *
Are you a minor? *
Are you bringing a minor or minors to the hike event or registering on behalf of a minor? *
Assumption of Risk associated with Hiking activities: 1. Falling, causing broken bones, severe injury to the head, neck and back which may result in severe impairment or even death. 2. An "act of nature", including but not limited to rock fall, inclement weather, thunder and lightning, severe or varied wind, temperature and other weather conditions. 3. Risks associated with crossing, climbing or down-climbing rock. 4. Risks associated with river crossings, fordings or portaging. 5. Possible equipment failure and/or malfunction of my own or others' equipment. 6. My own negligence and/or the negligence of others, including employees, volunteers, agents, independent contractors or representatives of Mending Kids, including but not limited to operator error.
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7. Cold weather and heat-related injuries and illness including but not limited to frostnip, frostbite, hypothermia, heat exhaustion, heat stroke, sunburn and dehydration. 8. Exposure to outdoor elements, including but not limited to inclement weather, thunder and lighting, severe and/or varied wind, temperature or weather conditions. 9. Attack by or encounter with insects, animals and/or wildlife. PLEASE NOTE: If participant(s) use an INHALER and/or require EPINEPHRINE (EpiPen), they are responsible for bringing their medication for self-administration during the entire tour duration. Mending Kids DOES NOT provide INHALER or EPINEPHRINE (EpiPen) medications. 10. Accidents or illness occurring in remote places where there are no available medical facilities and rescue may be distant and time-consuming at best. 11. Fatigue chill and/or dizziness, which may diminish my/our reaction time and increase the risk of accident. 12. Risk of injury from the activity and equipment utilized is significant, including the potential for permanent disability or death. 13. My sense of balance, physical coordination, and ability to follow instructions. 14. Risk of exposure to infectious disease.
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In consideration for being permitted to participate in hiking activities, I hereby agree, acknowledge and appreciate that: 1. To release the releasees, 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. 2. By entering into the Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement.
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3. 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 releasees: Mending Kids International 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.
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Declaration of Fitness Agreement: Furthermore, I hereby declare that I am physically fit and that I have no physical or mental condition(s) that should preclude me from participating in my chosen activity, that I am not participating against medical advice or treatment and that I have not been diagnosed by a registered doctor as having a terminal illness. I further declare that in the event that I feel ill or unwell, have any physical complaints whatsoever or if an injury is sustained of any kind during the course of hiking activities, I will notify the guide immediately and before moving away from the immediate vicinity.
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I grant permission to all of the foregoing to use my photographs which I may share online as part of the event, personal data provided during registration and post-event reporting, video or audio recordings, or any other record of this event for any legitimate purpose. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event.
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I HAVE READ THE ASSUMPTION OF RISK /RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT/ DECLARATION OF FITNESS AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. DISCLAIMER: By typing your name below, you are signing this waiver form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this registration.

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