Universal Challenge Course 
Youth (<18) Release of Liability Form
Universal Challenge Course Outdoor adventure activities are exciting, challenging and both physically and mentally demanding. Some activities may be stressful and possibly hazardous. The programs provide goal-oriented activities that offer participants an opportunity to explore new behaviors related to trust, teamwork and leadership capabilities. These activities may include field games, low elements a few feet high that are constructed of
rope, cable, and wood, and high elements that require safety equipment, or rock climbing. Instructors who have been specifically trained in the operation and safe practices of challenge courses or rock climbing supervise all activities. Our philosophy is Challenge by Choice,
meaning that participants agree to choose their own level of challenge and agree not to be coerced by instructors or other participants. The University of New Hampshire has taken precautions to provide proper equipment and qualified instructors. It is impossible, however, to guarantee absolute safety. While it is the aim and responsibility of the program and instructor to provide you with an enjoyable, educational, and safe experience, you must realize that there is a degree of risk and personal responsibility for safety when you participate in adventure activities. You will receive instruction in safe up-to-date practices and safety techniques related to all elements and activities and are
supervised throughout the program. Participants are advised to call hazardous situations to the leader’s attention. Injuries can occur. By consenting to participation, you assume all risks incidental to use of the course and activity, including the possibility of bruises and other more serious injuries. Signing this form indicates your recognition and understanding of the responsibilities and hazards inherent in your participation on the course. You agree to assume all responsibilities and risks involved in the program, and for yourself and
your heirs to release and hold harmless the University of New Hampshire, its officers and employees, from all claims and legal actions, whether for property damage, physical injury, or otherwise, arising from your participation in the program. Please confirm with your signature that you have read this information, that you understand your responsibility as a participant, and that you assume all of the risks incidental to the adventure program. Also, sign to show that you have provided us with all the medical information
that has been requested on the reverse side that you agree to follow instructions and directions given by your instructor, and that you will act with good judgment. ______________________________________________________ ___________________________ Name
__________________________ _________________________________________________________ Signature
Parent or Guardian Signature (if participant is under 18 year of age)
Photo Release Form I hereby grant to the University of New Hampshire and its affiliates, the Browne Center and the New England Center, permission to use my photographic likeness or videotape of my participation in activities held at the Browne Center in their promotional, informational, and educational materials. ____________________________________________________ __________________________ Name
____________________________________________________ Signature
Source: http://www.proctoracademy.org/ftpimages/3/download/Browne%20Center%20Liability%20form.pdf
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