Please read carefully and submit

NOTICE:  THIS IS A LEGALLY BINDING AGREEMENT. Read this document carefully and in entirety. By signing this agreement, you give up your right to bring a court action to recover compensation or obtain any other remedy for any personal injury to you or the participant or property damage however caused arising out of your participation in Coppermine Programs, now or at any time in the future.

Acknowledgment of Risk for Minors and Adults 18+

I hereby acknowledge and agree that participation in Coppermine activities and programs comes with inherent risks. I, in my legal capacity as the parent/guardian of the minor named below or as the actual participant, have full knowledge and understanding of the inherent risks associated with Coppermine participation, including but in no way limited to: (1) slips, trips, and falls, (2) aquatic injuries, (3) athletic injuries, and (4) illness, including exposure to and infection with viruses or bacteria. I further acknowledge that the preceding list is not inclusive of all possible risks associated with Coppermine participation and that said list in no way limits the operation of this Agreement.

Coronavirus / COVID-19 Warning & Disclaimer

Coronavirus, COVID-19 is an extremely contagious virus that spreads easily through person-to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. COVID-19 can lead to severe illness, personal injury, permanent disability, and death. Participating in Coppermine programs or accessing Coppermine facilities could increase the risk of contracting COVID-19. Coppermine in no way warrants that COVID-19 infection will not occur through participation in Coppermine programs or of accessing Coppermine facilities.

Waiver, Release, Indemnification & Covenant Not to Sue

In consideration of my participation in Coppermine programs or activities by signing below for the undersigned participant or self, agree to release and on behalf of myself, my heirs, representatives, executors, administrators, and assigns, HEREBY DO RELEASE Coppermine, its officers, directors, employees, volunteers, agents, representatives and insurers (“Releasees”) from any causes of action, claims, or demands of any nature whatsoever including, but in no way limited to, claims of negligence, which I, my heirs, representatives, executors, administrators and assigns may have, now or in the future, against Coppermine on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to the use of Coppermine facilities/equipment or participation in Coppermine programs whether that participation is supervised or unsupervised, however the injury or damage occurs, including, but not limited to the negligence of Releasees.

For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby grant Coppermine permission to use my likeness in a photograph in any and all of its publications, including but not limited to all of Coppermine’s printed and digital publications. I understand and agree that any photograph using my likeness will become property of Coppermine and will not be returned. I acknowledge that since my participation with Coppermine is voluntary, I will receive no financial compensation. I hereby irrevocably authorize Coppermine to edit, alter, copy, exhibit, publish, or distribute my photos for purposes of publicizing Coppermine’s programs or for any other related, lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally I waive my right to royalties or other compensation arising or related to the use of the photograph.  I hereby hold harmless and release and forever discharge Coppermine from all claims, demands, and causes of action which I, my heirs, my representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

In consideration of my participation in Coppermine programs and activities I, the undersigned participant, agree to INDEMNIFY AND HOLD HARMLESS Releasees from any and all causes of action, claims, demands, losses, or costs of any nature whatsoever arising out of or in any way related to my Coppermine participation.

I hereby certify that I have full knowledge of the nature and extent of the risks inherent in Coppermine participation and that I am voluntarily assuming said risks.  I understand that I will be solely responsible for any loss or damage, including personal injury, property damage, or death, I or my child(ren) sustain while participating in Coppermine programs and that by signing this agreement I HEREBY RELEASE Releasees from all liability for such loss, damage, or death. I further certify that I am in good health and that I have no conditions or impairments which would preclude my or my child’s safe participation in Coppermine programs.

I further certify that I am of lawful age and otherwise legally competent to sign this agreement.  I further understand that the terms of this agreement are legally binding and certify that I am signing this agreement, after having carefully read it, of my own free will.