December 6 – Antoine Peak Summit hike

Please read the following carefully before signing.

I accept and understand that there are risks involved in performing any physical activity. I certify that I am physically fit for the events and volunteer opportunities which Inland NW Land Conservancy provides and which I seek to engage in, have not been advised by a physician to refrain from engaging in these volunteer activities, and have the requisite skills to competently and safely perform these activities. If at any time, I feel an activity which I am performing may be beyond my skills or is unsafe, I shall immediately stop said activity. I am voluntarily participating in these volunteer activities with acceptance and knowledge of the risks involved and knowingly and freely assume those risks. In consideration of the opportunities to participate in these activities, I hereby take the following actions for myself and anyone who might claim and/or sue on my behalf, and I expressly acknowledge that it is my intent to take these actions:

A) I waive the Inland NW Land Conservancy, its board of directors, employees, and volunteers (collectively “INLC”) from any and all claims or liabilities for death, personal injury, disability, lost wages, property damage, medical bills, theft, economic loss, or other claim, which may now or in the future arise out of my participation in or travelling to or from volunteer activities, regardless of whether such damage is due wholly or partially to INLC’s negligence;

B) I understand that transportation to and from the volunteer activity site is not part of any INLC‐sponsored activity. Although INLC recommends carpooling to reduce emissions, I agree that if I carpool, it is an independent action organized by myself and other individuals on our own initiative and at our own risk;

C) I agree to indemnify INLC and hold INLC harmless from any of the claims made or liabilities assessed against them as a result of my participation in INLC volunteer activities, including my own negligence;

D) I consent to emergency medical care, including transportation, as INLC or another participant in volunteer activities may deem it necessary if I am injured while participating in volunteer activities, agree that transportation, medical and hospital bills for such emergency medical care will be my own responsibility and not the responsibility of INLC or responding volunteer, and agree that INLC has no duty to provide me with such care;

E) I affirm that this acknowledgement, waiver, and release from liability is valid for all activities I undertake, regardless of whether the volunteer activities occur at one event or time, or many events or times, now or in the future;

F) I consent to photo release, and allow any and all photos or videos taken of me during INLC volunteer activities to be used by INLC in newsletters, social media, and other outreach materials.

I HEREBY CERTIFY THAT I HAVE READ CAREFULLY, UNDERSTOOD, AND ACCEPTED THE CONTENTS OF THIS ACKNOWLEDGEMENT, WAIVER AND RELEASE.

For persons under 18 years of age, a parent or legal guardian must sign this Inland Northwest Land Conservancy (“INLC”) Field Volunteer Waiver & Release from Liability (“FVWRL”) form and complete the following section.

I, the undersigned (parent/guardian) the parent or natural guardian of (minor’s name, hereafter “the minor”), hereby acknowledges that I have executed the foregoing FVWRL on behalf of the minor. As the natural or legal guardian of such minor, I hereby:

1) Consent to participation of the minor in the activities

2) Affirm the warranties and representations set for the in the attached FVWRL as to the minor, and agree to bind myself, the minor and our executors, administrators, heirs, next of kin, successors, and assigns to the terms of the forgoing FVWRL

3) Agree to release and (i) defend or (ii) indemnify and hold harmless the persons and entities mentioned in the foregoing FVWRL from (a) any and all claims, losses, or liabilities for personal injury, partial or permanent disability, property damages, medical or hospital bills, theft, or damage of any kind, including economic losses, which may in the future arise out of or release to the minor’s participation in or traveling to and from activities and (b) any claims made or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the foregoing FVWRL or in the execution of this consent. Whether I defend or indemnify and hold harmless such persons shall be determined in the sole discretion of the party entitled to such.

4) I consent to photo release, and allow any and all photos or videos taken of the minor during INLC volunteer activities to be used by INLC in newsletters, social media, and other outreach materials.

I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility (“medical provider”) to treat the minor for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to activities. I authorize any such medical provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries and any related conditions of the minor that may be encountered during the course of attempting to treat or relieve such injuries. I consent to the administration or anesthesia as deemed advisable during the course of such treatment. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself or the minor. I acknowledge no warranty is being made as to the results of any medical treatment.

I HEREBY CERTIFY THAT I HAVE READ CAREFULLY, UNDERSTOOD, AND ACCEPTED THE CONTENTS OF THIS ACKNOWLEDGEMENT, WAIVER AND RELEASE.