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Form updated Jan 2020 Page 1 of 4
Welcome! We’re glad you’ve joined us. Here are some important notes about today’s activity:
Activity: ____________________________________ Where: _____________________________ Time/Date(s): ______________________
Leader: _______________________________________________ Assistant Leader: ______________________________________________
Transportation: You’re responsible for your own transportation.
Early Sign-Out: If you leave early, you must initial “Early Sign-Out.” You’re on your own after that.
Minors: If a minor is participating, a parent or legal guardian signature is required. The adult should print the minor’s name and age,
and print and sign their own name and their relationship to the minor. Feel free to use two lines. If the adult is not present, an
individual waiver must be signed in advance.
Publicity: If you do not want the Sierra Club to use photographs of you, please write “no publicity” near your name.
By signing below, you are confirming that you agree to the Sierra Club’s Participation Agreement, which is a requirement for participation in all
Sierra Club activities. You are encouraged to read it carefully, as it includes a liability waiver and other provisions that affect your legal rights.
Participant Name
including each
minor
Signature Address Phone & Email Emergency Contact
Name & Number
License
Plate
Member # Early
Sign-Out
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Form updated Jan 2020 Page 2 of 4
By signing below, you are confirming that you agree to the Sierra Club’s Participation Agreement, which is a requirement for participation in all
Sierra Club activities. You are encouraged to read it carefully, as it includes a liability waiver and other provisions that affect your legal rights.
Signature Address Phone & Email Emergency Contact
Name & Number
License
Plate
Member #
Early
Sign-Out
Participant Name
including each
minor
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PARTICIPATION AGREEMENT
IMPORTANT: This agreement affects your legal rights. By signing it, you are agreeing to (among other things) assume risks, release claims, waive rights, and
indemnify Sierra Club from harm.
1. Definitions. The following capitalized terms have the following meanings when used herein:
A. "Sierra Club" means Sierra Club and its officers, directors, representatives, employees, agents, chapters, volunteers, leaders, and affiliates;
B. "Activities" means any program, event, and/or activity offered by and/or on behalf of Sierra Club;
C. "Participant," who is identified at the bottom of this agreement, is either (i) me or (ii) as applicable, a person for whom I am legally authorized to
make decisions and who is referred to herein as "Minor Participant";
D. "Risks" means any risk associated, either directly or indirectly, with Participant's presence at and/or participation in any Activities;
E. "Damages" means any injury, damage, sickness, death, and/or any other loss, whether physical, emotional, financial, or otherwise, caused in whole or
in part by Participant, Sierra Club, and/or any third parties in connection with any Activities;
F. "Claims" means any action, cause of action, claim, controversy, promise, agreement, damage, judgment, cost, expense, and/or liability of whatever
nature, in law or in equity, whether known or unknown, whether contingent or liquidated, and whether based in statute, contract, tort, or otherwise; and
G. "Released Parties" means Sierra Club and any Sierra Club successor, assign, sponsor, advertiser, inspector, contractor, consultant, and/or any other
person or entity that takes any action on Sierra Club's behalf in connection with any Activities.
2. Participation. I (or Minor Participant, if any): (a) agree that my participation in any Activities will be subject to the terms herein; and (b) can and will
participate in any Activities in a constructive manner without causing Damages.
3. Logistics. I will accurately complete any required forms and abide (and cause Minor Participant, if any, to abide) by all laws, rules, and policies applicable
to any Activities. Prior to any Activities, I will be familiar with, and shall have accepted, the associated Risks and will have made any inquiry necessary to fully
understand those Risks. Sierra Club may in its sole discretion dismiss me (or Minor Participant, if any) from any Activities for any or no reason. I will be fully
responsible for any and all costs, including without limitation travel expenses, associated with my dismissal or departure (or the dismissal or departure of Minor
Participant, if any) from any Activities for any reason.
4. Understanding the Risks. I confirm all of the following:
A. Unplanned or unexpected situations may arise in the course of any Activities, Risks are inherent in all Activities and may not be obvious, and
Activities and Risks may cause Damages;
B. A few, non-exhaustive examples of Risks include: acts of nature or other matters outside Sierra Club's control; facilities and/or equipment failures;
itinerary changes and/or cancellations; transportation issues; problems associated with locations, wildlife, vegetation, and/or lack of access to medical care, AND
NEGLIGENCE by Sierra Club or others. There are many potential Risks that are not listed here; and
C. I understand all Risks, whether or not they have been communicated to me (and/or to Minor Participant, if any); and I have had adequate opportunity
to seek any information necessary to properly evaluate all Risks.
5. Assumption of Risks. I confirm my (and Minor Participant's, if any) assumption of all Risks, whether known or not and whether identified or not, and my
acceptance of all materials, equipment, and facilities associated with the Risks and/or the Activities in an "AS IS" condition. I accept that I (and Minor Participant,
if any) may sustain Damages, including Damages that could be caused by Sierra Club, third parties, and/or me (or Minor Participant, if any).
Form updated Jan 2020 Page 3 of 4