One moment please...
Women's Swiftwater Course
Contact Information
Participant Name
*
First Name
Last Name
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Participant Age
*
Over 18
Under 18
Level of River Experience
*
Beginner
Intermediate
Expert
Name of Emergency Contact
*
First Name
Last Name
Phone of Emergency Contact
*
Drysuit Rental
*
Drysuits will not be included in the course.
I will be providing my own dry equipment
I would like information regarding drysuit rental
This course is instructed by Black Fox Rescue Institute.
Acknowledgement of Risk
*
I am aware as a participant I expose myself to potential hazards associated with participation in Snake River Fund events. I am willingly participating in these events. I hereby agree to accept any and all risk. For myself and my loved ones, including members of my immediate family, I accept the risks of: death, drowning, paralysis, broken bones, contagious diseases, traumatic brain injury, and other life-ending or life-changing forms of harm. I agree that neither I, nor my assignees, heirs, distributees, guardians, and any other legal representatives, will make any claim against, or sue for injury and/or death or damage resulting from the negligence or any other acts or omissions, however caused, by any employee, agent, board member, volunteer contractor of the Snake River Fund, (collectively herein meaning “the Snake River Fund”) as a result of my participation with the Snake River Fund. I hereby agree to release the Snake River Fund from any and all liability, actions, claims, or demands that I, my assignees, heirs, guardians, and legal representatives now have or may hereafter have for injury resulting from my participation with the Snake River Fund.
Conduct Agreement
*
I recognize that as a participant I represent the Snake River Fund to the public. I accept the responsibility for this status and will conduct myself in a professional manner. I will not participate in and will report to an agent of the Snake River Fund instances of harassment, exploitation, and or intimidation. I will work to maintain an atmosphere of physical safety, emotional safety, and respect for everyone associated with the Snake River Fund.
Photo Release
*
I give permission for photographs, taken during the above declared event, of me and the persons listed below to be published in marketing and educational materials, on social media (e.g. Facebook), and on the Snake River Fund’s website (http://www.snakeriverfund.org). I understand that these photos can be viewed by anyone in the world, and identifying information may be displayed.
Deposit
*
$100
-
Refundable or donatable upon attendance.
Add 3% to my total amount to help cover the payment processing fees