Backcountry Hiking Club
Event-Specific Release and Assumption of Risk
Leaders: Please have each event participant sign below and return form to club secretary.
...................(Please note: All information will be will be for club use only.)
 
Hike or Event _______________________________________ Date _________________
I hereby release and hold harmless, the Backcountry Hiking Club, as well as its officers, event leaders, organizers, sponsors, affiliates and participants for any and all claims, causes of action, or liabilities out of my participation in this and any other events as may be sponsored by the Backcountry Hiking Club, and I agree to assume the risks associated with such participation. I attest that I am in good health and able to participate in this event. Further, I understand that if I leave the trip, hike, or other event, with or without the permission of the leader, that I will be on my own until I rejoin the group. I acknowledge that there is inherent risk of bodily harm and/or damage in participating in any Hiking event and I agree to assume all risks associated with my/our participation.
SIGNATURE
PHONE NUMBER
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