WASHINGTON STATE UNIVERSITY (WSU)
Forest and Logging Legacy 4-H Project Training
For all participants and Parents or Guardians of Participants Under 18 Years of Age
June 16, 2015
ASSUMPTION OF RISK
I understand that there are risks in participating in forestry games, swimming, log rolling, and general recreation at Camp or 4-H Activities associated with the Forest and Logging Legacy Extension Educational Program.
In consideration for and as a condition of being allowed to participate in this voluntary activity, I agree to take full responsibility for any and all risks that exist, including the risk of death or injury to my child or loss or damage to my property. I understand that there may be risks that WSU cannot predict or foresee, and I also assume full responsibility for those risks.
Risks in participating in the activities, games, outdoor/indoor recreation, swimming, log rolling and general recreation, include, but are not limited to: temporary or permanent muscle soreness, sprains, strains, cuts, abrasions, bruises, ligament and/or cartilage damage, orthopedic damage, head, neck or spinal injuries, loss of use of arms and/or legs, eye damage, disfigurement, burns, drowning or death. I also recognize that there are both foreseeable and unforeseeable risks of injury or death that may occur as a result of traveling to or from the Pend Oreille County Panther Country Coalition activities that cannot be specifically listed. Further, I recognize that the actions of other participants in the activities may cause harm or loss to my child or property.
RELEASE OF LIABILITY
I release, the state of Washington, the Regents of WSU, WSU, and subdivision or unit of WSU, its officers, employees, hosts and partner organizations and agents, from any and all liability, claims, costs, expenses, injuries and/or loses to person or property, which I may sustain and/or sustain as a result of death or injury of my child, as a result of or connected with participation in the above event. My child’s participation includes, but is not limited to, travel to and from the event in a private or public vehicle, any activity connected with the event itself, and use of state equipment or facilities for the event whether on or off WSU property. I have carefully read this document, understand its contents and am fully informed about this program and circumstances. I am aware that this document is a contract with WSU and the program sponsors. I sign it freely and voluntarily.
Name of Adult Participant or Parent or Guardian (Printed): _________________________________
Signature of Adult Participant or parent/guardian: ___________________________________________
Name of Minor (Printed): ____________________________________________