SIERRA CLUB HIGH SCHOOL HIKERS’ ECOLOGY CAMP 2003

GENERAL WAIVER AND RELEASE/INDEMNIFICATION FORM

The undersigned hereby acknowledges and assumes all risks associated with and releases the SIERRA CLUB HIGH SCHOOL HIKERS from all liability related to and arising out of Ecology Camp 2003.

In doing so, the undersigned is aware of Ecology Camp 2003 involves isolation from urbanized services, involves dangerous working conditions, and is dependent, in large part, upon the actions of the undersigned. If an accident should occur, it may be impossible to reach aid services within a reasonable time.

The undersigned warrants that she or he is in good health and is suffering from no debilitating ailment that would affect her or his performance in any manner or jeopardize the health or safety of other persons at Ecology Camp 2003.

Without limiting the foregoing, the undersigned warrants that she or he is not affected by high blood pressure, a heart condition, asthma, arthritis, diabetes, or any other health impairment. The undersigned is aware that her or his own health and safety depends on her or his ability to maintain safe working conditions, keep a safe distance from any other co-worker, handle tools carefully and obey instructions of the High School Hiker staff. The undersigned acknowledges that she or he may be subject to over-exertion from hiking or working, and may be exposed to rock slips, falling trees and branches, eroded trails, exposed hiking or climbing areas, unstable talus, slippery muddy conditions, heavy rain, damp working conditions, steep slopes above or below the trail, heat exhaustion, sun stroke, insect bites or concussions, punctures, lacerations, injuries accidentally inflicted by co-workers, especially during tool use, and even self-inflicted injuries, such as blisters, abrasions, sun burn, cuts, scratches, bruises, injuries sustained in slipping, falling, twisting, spraining, straining of muscles, joints, tendons, and ligaments. Tools used, which could cause injury, include without limit, machetes, pick axes and chain saws. Miscellaneous hazards could easily include choking during meals and car-related accidents. The foregoing examples are only listed as examples and are not intended to be all-inclusive. They are meant to establish that the undersigned has knowledge of some of the many risks being assumed.

We the undersigned, in full recognition and appreciation of the dangers and hazards inherent in hiking and camping, assume all risks associated thereto and agree for ourselves, our heirs, executors, and other person claiming through us or on our behalf to indemnify, defend and hold harmless the Sierra Club, High School Hikers Program, the property damage, personal injury, or death which may result from use of facilities and equipment, participation in all activities and/or omissions of said persons who attend Ecology Camp 2003.

IN WITNESS THEREOF the undersigned has executed this General Waiver and Release/Indemnification Form this the _________day of __________________, 20___.

_______________________________ ________________________________

(Print name of Student) (Signature of Student)

I am the legal parent/guardian of ___________________________. I have read and understood the complete General Waiver and Release/Indemnification Form and hereby give permission to my child/ward to participated in Ecology Camp 2003.

_________________________________ _______________________________

(Print Name of Parent/Guardian) (Signature of Parent/Guardian)

_________________________________ _______________________________

(Print Name of Parent/Guardian) (Signature of Parent/Guardian)

Please complete back portion: "Statement Concerning Swimming By Participant" and "Statement of Understanding and Acceptance of the Guidelines for Student Behavior While Participating in Ecology Camp 2003."