Participant Information

Child’s Full Name: _____________________________________________

Date of Birth: ____________________________ Age: __________

Program / Camp Session: _____________________________________________

Assumption of Risk

I understand that participation in Explore HOWL outdoor programs involves physical activities that may include but are not limited to: hiking, nature exploration, wildlife observation, fire starting, outdoor games, and other activities typical of an outdoor education program. I acknowledge that these activities carry inherent risks, including but not limited to physical injury, illness, or property damage. I voluntarily assume all risks associated with my child’s participation in Explore HOWL programs.

Release of Liability

In consideration of my child’s participation in Explore HOWL programs, I, as the parent or legal guardian, hereby release, waive, and discharge HOWL Nature Company, Explore HOWL, its directors, staff, volunteers, and agents from any and all claims, demands, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by my child during participation in any program activity.

Medical Authorization

In the event of an emergency, I authorize Explore HOWL staff to seek medical attention for my child if I cannot be reached. I acknowledge that I have provided accurate and complete medical information, including allergies, medications, and any special needs, on the registration form. I agree to notify Explore HOWL of any changes to my child’s medical information prior to program participation.

Acknowledgment

I have read this Liability Waiver and Release of Liability in its entirety. I understand its terms and sign it freely and voluntarily. I confirm that I am the parent or legal guardian of the participant named above and that the participant is between the ages of 6 and 11. I understand that this waiver is binding upon me, my heirs, and my legal representatives.

Signatures

Parent / Guardian Printed Name: _____________________________________________

Parent / Guardian Signature: _____________________________________________

Date: ____________________________

Relationship to Child: ____________________________

For Office Use Only

Date Received: ____________________________

Staff Initials: _____________________________________________