Check If
Under 18
Participant
Name
Signature/Date
(Guardians/Parents if Minor)
Emergency Contact
(Name and Phone Number)
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AMC VOLUNTEER LED ACTIVITIES
ACKNOWLEDGMENT AND ASSUMPTION OF RISKS & RELEASE AGREEMENT
Date: Leader: Chapter: Activity:
PLEASE READ THIS ENTIRE DOCUMENT (hereafter 'Document') CAREFULLY BEFORE SIGNING. All participants must sign this Document. For
participants under 18 yrs. of age (hereafter sometimes ‘minor’ or ‘child’), parent/s or legal guardian/s (hereafter collectively ‘parent/s’) must also
sign. In consideration of the services of the Appalachian Mountain Club, Inc., a charitable, not-for-profit corporation, organized and existing under the laws
of Massachusetts, and its chapters, including all officers, directors, employees, representatives, agents, independent contractors, volunteers (including
leaders and co-leaders), members and all other persons or entities associated with it (collectively referred to in this Document as 'AMC'), I (participant and
parent/s of a minor participant) acknowledge and agree as follows:
AMC volunteer-led educational and/or adventure activities may include, but are not limited to hiking, backpacking, camping, biking, skiing, maintenance
of trails and facilities, mountaineering, rock and ice climbing, canoeing, kayaking, sailing, use of AMC huts or other facilities and transportation or travel to
and from activities (referred to in this Document as 'activities' or 'these activities'). The leaders of these activities are volunteers. They are not paid
professional guides or leaders. In all activities, all participants share in the responsibility for their own safety and the safety of the group.
Participants (and parents of minors) take responsibility for having appropriate skills, physical conditioning, equipment and supplies for these activities.
These activities include inherent and other risks, hazards and dangers (referred to in this Document as ‘risks’) that can cause or lead to injury,
property damage, illness, mental or emotional trauma, paralysis, disability or death to participant or others. Some, but not all of these risks include:
hazardous and unpredictable ground, water or weather conditions; misjudgments made by leaders, co-leaders, participants or others; travel in remote
areas that can cause potential delays or difficulties with transportation, evacuation and medical care; equipment that can fail or malfunction; infectious
disease, including but not limited to COVID-19; the potential that the participant or others (e.g. co-participant, driver, medical and rescue personnel) may
act carelessly or recklessly. I understand that AMC cannot assure participant's safety or eliminate any of these risks. Participant is voluntarily
participating with knowledge of the risks. Therefore, participant (and parent/s of minors) assume and accept full responsibility for the inherent
and other risks (both known and unknown) of these activities, and for any injury, damage, death or other loss suffered by participant,
resulting from those risks, and/or resulting from participant’s negligence or other misconduct.
I (adult participant, and/or Parent/s for themselves and for and on behalf of their participating minor child) agree to release and not to sue AMC
(as AMC is defined above) in regard to any and all claims, liabilities, suits, or expenses (including reasonable costs and attorneys’ fees) (hereafter
collectively ‘claim’ or 'claim/s'), including claim/s resulting from AMC’s negligence (but not its gross negligence or intentional or reckless
misconduct), for any injury, damage, death or other loss to me or my child, in any way connected with my or my child’s enrollment or participation in these
activities, or my use of AMC equipment, facilities or premises. I understand I agree here to waive all claim/s I or my child may have against AMC, and
agree that neither I, my child, or anyone acting on my or my child’s behalf, will make a claim against AMC.
I (participant and parent/s of a minor participant) agree that the substantive laws of Massachusetts govern this Document and all other aspects of my
relationship with AMC, and that any mediation, suit, or other proceeding must be filed or entered into only in Massachusetts. This Document is intended
to be interpreted and enforced to the fullest extent allowed by law. Any portion of this Document deemed unlawful or unenforceable shall not
affect the remaining provisions, and those remaining provisions shall continue in full force and effect.
PARTICIPANT AND PARENT/S OF A MINOR PARTICIPANT AGREE: I HAVE CAREFULLY READ, UNDERSTAND AND VOLUNTARILY SIGN THIS
DOCUMENT AND ACKNOWLEDGE THAT IT SHALL BE EFFECTIVE AND BINDING UPON ME, MY MINOR CHILDREN AND OTHER FAMILY
MEMBERS, AND MY HEIRS, EXECUTORS, REPRESENTATIVES AND ESTATE. Parent/s must sign below, both in their capacity as a participant,
and as Parent/s of any minor child identified below.
Please return this within 7 days of the completion of your activity: Email: [email protected] Subject Line Must include: Leader Last Name, Chapter Name,
Month, and Year of activity. OR mail to: AMC Volunteer Release Agreement, 10 City Square, Boston, MA 02129 Version 2021.2