Visitor’s Acknowledgement Of Risks

 WARNING:  There are significant elements of risk in any adventure, sport or activity associated with the outdoors or wilderness, including but not limited to camping, climbing/hiking/trekking, fishing, hunting walking or glaciated terrain or surfaces, and the presence or use of saddle animals, dogs, watercraft, firearms and other weapons (referred to herein as “activity”), and the use of any related equipment.

 In consideration of the services of Paul E Hansen dba: Alaska Rainbow Adventures their officers, agents, employees, and stockholders, and all other persons or entities associated with those businesses (herein collectively referred to as “the outfitter/guide”), I agree as follows:

 Although the outfitter/guide has taken reasonable steps to provide me with appropriate equipment and/or skilled guides so I can enjoy an activity for which I may not be skilled, the outfitter/guide has informed me this activity is not without risk.  Certain risks are inherent in each activity and cannot be eliminated without destroying the unique character of the activity.  These inherent risks are some of the same elements that contribute to the unique character of this activity and can be the cause of loss or damage to my equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death.  The outfitter/guide does not want to frighten me or reduce my enthusiasm for this activity,  but believes it is important for me to know in advance what to expect and to be informed of the inherent risks.

The following describes some but not all, of those risks:

 1) Falling;  2)  Cold weather and heat related injuries and illness including hypothermia, frostbite, heat exhaustion, heat stroke, sun burn, and dehydration;  3)  An “act of nature” which may include avalanche, rock fall, inclement weather, thunder and lightning, severe and/or varied wind, temperature or weather conditions;  4)  River crossings, fjordings, portaging, loading on to or unloading from a variety of vehicles, craft, vessels, or animals, and/or travel to and from the activity which may involve flying in small aircraft and landing/taking off from in unimproved areas;  5)  Risk associated with crossing, climbing or down climbing of rock, snow and/or ice – including risk of head injury which may be reduced by wearing a UIAA approved helmet;  6)  Equipment failure and/or operator error;  7)  Risks typically associated with approaching, handling, mounting/riding/dismounting, loading/unloading or the unpredictability of any saddle or pack animal in response to light, movement, noise, or objects – including risk of head injury which may be reduced by wearing an ASTM approved riding helmet;   8)  Risks typically associated with watercraft including waterflow, current, tidal action, or the wake of other craft; submerged, semi-submerged and overhanging objects; capsizing, swamping or sinking of watercraft and resultant injury, hypothermia, or drowning – drowning risks may be reduced by wearing a fastened U.S.C.G. approved personal flotation device;   9) Attack or encounter with bears, reptiles, insects, or other animals;  10)  Accidents or illness occurring in remote places where there are no available medical facilities;  11)  Fatigue, chill and/or dizziness, which may diminish my reaction time and increase the risk of accident;  12)  Discharge of weapons.

 I am aware that the activity entails risks of injury or death to any participant.  I understand the description of these inherent risks is not complete and that unknown or unanticipated inherent risks may result in injury, illness, or death.  I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified.  My participation in this activity is purely voluntary.  No one is forcing me to participate, and I elect to participate in spite of the inherent risks. 

 I acknowledge that engaging in this activity may require a degree of skill and knowledge different from other activities, and that I have responsibilities as a participant.  I acknowledge that the staff of the outfitter/guide has been available to more fully explain to me the nature and physical demands of this activity and the inherent risks, hazards, and dangers associated with this activity.

I certify that I am fully capable of participating in this activity.  Therefore, I assume and accept full responsibility for myself, including all minor children in my care, custody, and control, for bodily injury, death, loss of personal property, and expenses as a result of those inherent risks and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my/our negligence in participating in this activity.

 I have carefully read, clearly understood, and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative, and estate, and for all members of my family including minor children.

 Participants Name Printed: _______________________________________________

 Age ______________ Signature ___________________________________________

 Emergency Contact _____________________________________________________

 Emergency Contact Phone Number ________ / _______________________________

 List of known allergies to plants, insects, food or medications: ___________________

 ____________________________________________________________________

 

Describe if under a doctor’s care or taking prescribed medications: ________________

 ______________________________________________________________________

 If This Activity involves the use of weapons, are you experienced with the safe use of weapons?     _____Yes    _____ No

 If  “No”, have you passed an approved weapons safety class?  ___ Yes   ___ No

 If Participant is under 18, the Parent or Legal Guardian must also sign: ___________________________________________