Name *

First Name

Last Name

Read thoroughly *

Acknowledgment of Risks I understand that participating in a hiking retreat involves inherent risks, including but not limited to: - Uneven terrain, slips, and falls - Exposure to wildlife and insects - Dehydration, weather extremes, or altitude-related issues - Limited access to immediate medical care I acknowledge that the retreat organizers and guides will take reasonable precautions for safety, but cannot eliminate all risk associated with outdoor activities. Health & Fitness Disclosure I certify that I am in adequate physical condition to participate in a hiking retreat. I agree to disclose all relevant medical conditions and limitations and will notify the organizers of any changes. Assumption of Risk and Release of Liability By signing this form, I voluntarily: - Accept all risks associated with participation - Waive any claims of liability against the retreat organizers, guides, volunteers, landowners, or affiliated parties for injury, loss, or damage - Agree to be financially responsible for any emergency medical care, evacuation, or property damage I cause. I agree to: - Follow all instructions from guides and retreat leaders - Stay with the group or within designated areas - Inform a guide immediately if I experience pain, discomfort, or injury - Carry the necessary gear, including water, footwear, and clothing appropriate for weather and trail conditions - Refrain from bringing illegal substances or engaging in reckless behavior Photo/Media Consent (Optional) I grant permission for photos or videos of me taken during the retreat to be used for promotional purposes. Check one

YES

NO

Emergency Contact *

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Last Name

Phone

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Participant Signature *

First Name

Last Name

Guardian Signature (If under 18)

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Last Name

Date

MM

DD

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