GEORGIA WILDERNESS SOCIETY, INC.

RELEASE AND ASSUMPTION OF RISK AGREEMENT

In consideration of the privilege of being allowed to participate in the following described activities, the undersigned or signer of attached GWS trip list hereby releases and relinquishes any and all claims same may have for any injuries that he/she sustains while either in route to or from said activities or during the course of said activity, regardless of the cause of said injuries and regardless of the nature, either personal injury or property damage, and the undersigned or signer of attached GWS trip list completely discharges and agrees to hold harmless the members, officers, directors, and all others affiliated with the Georgia Wilderness Society, Inc. This release is intended to specifically encompass any and all injuries resulting from any cause whatsoever, including but not limited to, accidents, theft of personal property by other persons or loss of same, injuries or property loss from fire, drowning, falling, altercations with other persons, and attacks by animals.

The undersigned or signer of attached GWS trip list acknowledges and accepts exclusive liability for the risks of any and all injuries, damages, or other misfortunes which may result from any activity consisting of backpacking, hiking, canoeing, biking, or any other form of meeting and/or transportation to and from the appointed destination and all other injuries and property losses which may be incidental to such activities.

The undersigned or signer of attached GWS trip list acknowledges his/her sole responsibility for medication and/or equipment required for said person to be self-sufficient, including specifically any medications related to his/her health condition, or allergies.

This release is intended to cover all activities in which the undersigned or signer of attached GWS trip list participates in conjunction with any of the parties above named, specifically including but not limited to any injuries which may result from the following activity:



Name of Activity: _____________________________________



which activity is to be supervised by:_____________________________________________(trip leader)

who is specifically released of any and all liability resulting from such activity.



I certify that I am above 18 years of age and emancipated. I have read the foregoing and hereby agree to this document.

This _____________day of ___________, 20___.





RELEASE BY GUARDIAN OF MINOR

I, parent and/or legal guardian of______________________________________________________

a minor under Georgia law, have read the foregoing and hereby agree to release the said claims on behalf of said minor person and any and all such claims I myself may have as parent and/or guardian.
This _____________day of ___________, 20___.