Outdoor Nation Liability Release Form printable pdf download

OUTDOOR NATION LIABILITY RELEASE FORM

NAME OF DELEGATE:

___________________________________________________SUMMIT CITY: __________________________________

I elect to participate voluntarily as a delegate to the OUTDOOR NATION SUMMIT, knowing that the associated activities may

incur certain risks. I voluntarily assume full responsibility for any risks, loss, property damage, or personal injury that may be

sustained by me, or loss or damage to property owned by me, as a result of participation in OUTDOOR NATION.

I release OUTDOOR NATION, the Outdoor Foundation, the event hosts, sponsors and co-sponsors, individual leaders,

volunteers and chaperones, from any and all liability, claims, demands, and actions arising out of or related to any loss,

damage, or injury, that may be sustained by me, or to any property belonging to me, while participating in any OUTDOOR

NATION activities, or while on the premises where the events are being conducted. I specifically assume all risks associated

with participation in the events of the conference and all related activities to the conference, as well as travel to and from all

conference activities, and the risk of damage or injury from any cause, action, omission, or occurrence caused by OUTDOOR

NATION, including acts of omission constituting negligence.

Parent/Guardian Consent

As the parent/guardian of the above-named minor participating in the OUTDOOR NATION SUMMIT, I understand that this

form must be signed by me in order for my child to participate in the OUTDOOR NATION SUMMIT. By permitting my child to

participate in this event, I understand that I assume all responsibility and risk associated with all conditions, hazards and

potential dangers of the OUTDOOR NATION SUMMIT.

Photo Release

I grant OUTDOOR NATION permission to photograph me or my child participating in the OUTDOOR NATION YOUTH

SUMMIT and to use the photographs, videos, and/or my or my child’s quotes regarding participation in the event in public

media for promotional and educational purposes.

____________ NO ___________

YES

Medical Authorization

Should it be necessary for me or my child to have emergency medical treatment while participating in the OUTDOOR NATION

SUMMIT, I understand that OUTDOOR NATION will contact local medical emergency management officials for treatment. I

further provide my consent for OUTDOOR NATION to seek emergency treatment for the minor if necessary. I agree to accept

financial responsibility for the costs related to this emergency treatment. In case of a medical emergency, please contact the

following for me or my child:

___________________________________________________________

EMERGENCY CONTACT NAME

____________________________________________________________________________

PHONE

By signing below, I voluntarily agree to the terms above and release OUTDOOR NATION, The Outdoor Foundation, the event

hosts, sponsors and co-sponsors, individual leaders, volunteers and chaperones, from all liability, costs and damages, which

might arise from my participation or the participation of my child in the OUTDOOR NATION SUMMIT.

SIGNATURE OF DELEGATE:

__________________________________________________________________________DATE: _________________

NAME OF PARENT OR GUARDIAN:

__________________________________________________________________________________________________

SIGNATURE OF PARENT OR GUARDIAN:

___________________________________________________________________________DATE: _________________

Outdoor Nation Liability Release Form