I hereby acknowledge that I have voluntarily applied to participate from time to 
time in mountaineering and/or in mountaineering instruction or training, 
hereinafter referred to as "Activities".	(Initial: ______ )

I am aware that the Activities are hazardous, involving risk of serious bodily 
injury, death, or property damage and I am voluntarily participating in these 
Activities with knowledge of the risks. I expressly assume the risk of these 
dangers including, but not limited to, slips, falls, objects or persons falling on 
persons, equipment failure, injury from pointed equipment, high altitude 
sickness and/or injury, improperly administered first aid, lightning strikes, 
hypothermia, and/or drowning.	(Initial: ______ )

As lawful consideration for being permitted by the group engaging in these 
Activities or any of its officers, agents, servants, volunteers, leaders, activity 
participants, or employees, herein referred to as Releasees, to participate in 
these Activities and/or use their equipment, the undersigned does for 
him/herself, his/her heirs, executors, administrators, legal representatives, 
guardians, distributees, and assigns, collectively referred to as Releasors, hereby 
release, waive, discharge, and relinquish any action or causes of action for 
personal injury, property damage, or wrongful death which may hereafter arise 
from the Activities or any pursuit incidental thereto wherever or however said 
pursuit may occur and for any period said Activities and pursuits may continue.	
(Initial: ______ )

The undersigned further agrees that under no circumstances will Releasors 
prosecute or present any claim against Releasees for any causes of action, for 
personal injury, property damage, or wrongful death, whether the same shall 
arise by the negligence or non-intentional conduct of any of said Releasees from 
the Activities or any pursuit incidental thereto.	(Initial: ______ )

The undersigned and the remaining Releasors hereby agree to indemnify, save 
and hold harmless the Releasees and each of them from any loss, liability, 
damage or cost (including attorney fees) which Releasees may incur as a result 
of injury, death, or property damage to the undersigned, or from suit from such 
personal injury, death, and/or property damage to the undersigned.	
(Initial: ______ )

This Agreement is intended to be as broad as is permissible under the law of 
the State of California and this Agreement shall be interpreted under the laws 
of the State of California.	(Initial: ______ )

If any portion of this Agreement is invalid and/or is declared to be invalid by a 
Court of Law, it is agreed that the balance of the Agreement shall continue in 
full force and effect.	(Initial: ______ )

The undersigned has read and voluntarily signs the release and waiver of 
liability and indemnity Agreement and further agrees that no oral 
representations, statements, or inducements apart from the foregoing written 
Agreement have been made.	(Initial: ______ )

I will be personally responsible for my own safety during these Activities and 
assume all risks and accept full and complete responsibility for any and all 
damages and personal injury of any kind, including death. This Agreement 
must be signed by all trip participants as a condition for participation, which in 
my opinion makes this Agreement a reasonable contract.	(Initial: ______ )

The undersigned acknowledges that he/she has read the foregoing paragraphs 
and is completely aware of the potential dangers incident to engaging in the 
Activities, and is fully aware of the legal consequences of signing the within 
instrument.	(Initial: ______ )

Printed Name: 

_________________________________________________________   Age: _________________

Signature: 

_________________________________________________________   Date: ________________

Parent or Guardian Signature: 

_________________________________________________________   Date: ________________


This document is available at:
      http://www.climber.org/trips/LiabilityWaiver.pdf
      http://www.climber.org/trips/LiabilityWaiver.html