​Thank you.

 Please complete the Release Form and the Health Questionnaire in preparation for our time together. Your information will be held in strictest confidence.  

​

    PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

    In consideration of the services of Gracelines Forest Therapy, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf, I hereby agree to release, indemnify, and discharge Gracelines Forest Therapy, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows: 
    • I acknowledge that outdoor activities in natural areas entail known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.​

    The risks include, among other things: Slipping and falling; falling objects; water hazards; exhaustion; exposure to temperature and weather extremes which could cause hypothermia, hyperthermia (heat related illnesses), heat exhaustion, sunburn, dehydration; and exposure to potentially dangerous wild animals, insect bites, and hazardous plant life; accidents or illness can occur in remote places without medical facilities and emergency treatment or other services rendered; consumption of food or drink; equipment failure; improper lifting or carrying; my own physical condition, and the physical exertion associated with this activity.

     Furthermore, Gracelines Forest Therapy employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, incorrect information, and the equipment being used might malfunction.
    • I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
    • I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SY/CRP from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Gracelines Forest Therapy equipment or facilities, including any such claims which allege negligent acts or omissions of Gracelines Forest Therapy.
    • Should Gracelines Forest Therapy or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.
    • I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
    • In the event that I file a lawsuit against Gracelines Forest Therapy, I agree to do so solely in the [Name Jurisdiction], and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

    By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Gracelines Forest Therapy on the basis of any claim from which I have released them herein.  I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.
    Please type your name below to serve as your official Signature.

    HEALTH QUESTIONNAIRE

    This information is accurate and complete. I agree to communicate fully with Guides regarding any health concerns that may arise. I give my permission to the staff of Gracelines Forest Therapy to seek emergency medical diagnosis or treatment for me in the event that I am unconscious or unable to make my own decisions. I understand that should I need medical care for any reason while participating in this program the role of Guides will be limited to emergency First-Aid and either transportation to the nearest medical facility, or contacting such a facility to arrange emergency transport.
    Please type your name below to serve as your official Signature.
Awareness. Appreciation. And, awe.
Gracelines Forest Therapy
Photo used under Creative Commons from A_Peach