Download a copy of the waiver.

Or use the form on this page for quests as a "Cut and Paste" form so they may "Cut" it from this site, and "Paste" it into an email to be sent to a leader. The signed copy must be presented as soon as possible to The Mountaineers.

The Waiver
Annual Release and Indemnity Agreement

I, ____________________________________________,
(cut and paste your name into if emailing or print name)

hereby state that I wish participate in courses and/or activities offered by The Mountaineers, a non-profit corporation. I recognize any outdoor activity may involve certain dangers, including but not limited to the hazards of traveling in mountainous terrain, accidents or illness in remote places, forces of nature, and the actions of participants and other persons. I further understand and agree that without some program providing protection of it assets and its leaders, The Mountaineers would not be able to offer its courses and activities.

In consideration of and as part payment for the right to participate in the activities offered by The Mountaineers, I agree to RELEASE, HOLD HARMLESS AND INDEMNIFY The Mountaineers and its members from any and all liability, claims and causes of action arising out of or in any way connected with my participation, or the participation of any minor that I am signing on behalf of, in any activities offered by The Mountaineers. I personally assume all risks in connection with these activities. If I am signing on behalf of a minor, I further agree to HOLD HARMLESS AND INDEMNIFY The Mountaineers and its members from all liability, claims and causes of action which the minor may have arising from the minor's participation in activities. The terms of this agreement shall serve as a release and indemnity agreement for my heirs, personal representative, and for all members of my family, including any minors. (Parents or legal guardians must sign for all persons under 18 years of age.)

I have read this release and indemnity agreement and have fully informed myself of its contents before I have signed it.

If sending this agreement by email, print your full name and the date on the below signature line(s). The received email will be the record until the signed copy is presented and filed

_____________________________________________________________________
Signature of Participant

Date _________________________________

_____________________________________________________________________
Signature of parent/Guardian is participant is under 18 years of age

Date _________________________________