Aspen Center for Environmental Studies
2008 Release Agreement for Minors
MINOR, AND PARENT/GUARDIAN INFORMATION
Child's Name ______Date of Birth ______
Parent(s) or Guardian(s) ______
Home Address ______
______
Home Phone ______Cell Phone______
If visiting:
Accommodations in Aspen ______Phone______
Optional information in case of emergency, injury, or the like:
Doctor ______Phone______
Allergies ______
Medications currently taking ______
Any food/drink child CAN NOT eat ______
CONTACT if Parent/Guardian cannot be reached:
Name ______Relationship ______
Phone ______
List any additional information you think we should have about your child's health:
PARTICIPATION, WAIVER AND RELEASE AGREEMENT
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY
Parent or Guardian must INITIAL each paragraph and SIGN this Release and Indemnification Agreement.
In consideration of the acceptance of my registration in an Aspen Center for Environmental Studies Class described in the Summer Activities and Naturalist Field School Brochures, and for myself being permitted by the Aspen Center for Environmental Studies to participate in a Naturalist Field School Class, I agree to the following waiver and release.
1. I am voluntarily participating and hereby agree to accept any and all risks of injury or death that may result. I also assume full responsibility for any and all risks associated with possible transportation needed for the class; with selection, preparation, and use of any equipment or materials directly or indirectly related to my participation in, or presence at, the above-described class.
Please initial______
2. I, for myself, my heirs, successors and executors, hereby knowingly and intentionally waive and release, indemnify and hold harmless the Aspen Center for Environmental Studies, its owners, directors, members, officers, officials, agents, representatives, employees, class organizers, volunteers, supporters and sponsors from and against any and all claims, actions, causes of action, suits, liabilities, damages, expenses, and costs (including, without limitation, attorneys' fees) of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any injury or death as a result of my participation in the above described class, whether such injury or death resulted from the negligence of the above listed entities or persons, or from some other cause.
Please initial______
3. I hereby represent that I have medical insurance under a policy that will cover any and all injuries that I might suffer in connection with my participation in or presence at any ACES’ classes and programs.
Please initial______
4. I lastly agree that the above representations are contractually binding and are not mere recitals. I further understand that this Agreement shall apply to my participation in any and all activities associated with the ACES’ classes and programs. I hereby agree not to sue any of the entities or persons listed in paragraph 2. This Agreement may not be amended or modified except in writing and accepted by the Aspen Center for Environmental Studies.
Please initial______
5. I understand that outdoor field studies at high elevations (5,000 feet and above) in the mountains could involve exposure to intense sun, rapidly changing weather, and rough terrain. I understand that it is my responsibility to be prepared to attend class with appropriate clothing and gear.
Please initial______
PHOTO RELEASE:
6. For myself and on behalf of minor, the undersigned hereby grants the Aspen Center for Environmental Studies an absolute and irrevocable right and permission, in respect of the photographs, video tapes, motion pictures, recordings, or any other media (hereinafter collectively known as "Images") which are taken of me, or minor, by staff or press representatives or in which I may be included with others, to copyright the same, in ACES’ own name or otherwise, to use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other Images, and in conjunction with any printed matter, in any and all media now or hereafter known, and for any legitimate purpose whatsoever.
Please initial ______
7. I grant permission to use my or minor’s name in connection therewith if ACES so chooses. I hereby waive any right to inspect or approve the Images or any finished version incorporating the same.
Please initial ______
I HAVE CAREFULLY READ, CLEARLY UNDERSTAND, AND VOLUNTARILY SIGN THIS PARTICIPATION, WAIVER, AND RELEASE AGREEMENT.
______
Signature of Parent or Guardian Date
INDEMNIFICATION AGREEMENT
In consideration of the acceptance of the registration of the below described person in the above described Aspen Center for Environmental Studies Naturalist Field School Class, and for said person being permitted by the Aspen Center for Environmental Studies to participate in the class and related and associated activities and events, I agree to the following waiver, release, and indemnification:
As undersigned adult, I hereby join in the foregoing Participation, Waiver, and Release Agreement and hereby stipulate and agree to hold harmless Aspen Center for Environmental Studies, its owners, directors, members, officers, officials, agents, representatives, employees, class organizers, volunteers, supporters and sponsors of Aspen Center for Environmental Studies and classes from and against any and all claims, actions, causes of action, suits, liabilities, damages, expenses, costs (including, without limitation, attorneys' fees) and negligence of any kind or nature, whether foreseen or unforeseen, arising directly or indirectly out of any injury or death, made or brought by myself or by anyone on behalf of myself, as a result of my participation in the above described class.
______
Signature of Parent or Guardian Witness Date