Wilderness Survival Course Participation Waiver

Participant Information

Full Name Date of Birth Address Phone Number Email Address

Emergency Contact

Name Relationship Phone Number

Medical Information

Medical conditions, allergies, or medications

Waiver and Release

I acknowledge that participation in the Wilderness Survival Course involves inherent risks, including but not limited to physical injury, wild animal encounters, exposure to harsh weather, and remote locations without immediate medical assistance.

I voluntarily assume all such risks and agree to release the organizers, instructors, and affiliated personnel from any and all liability, claims, or demands resulting from my participation in this course.

I confirm that I am physically fit to participate in this activity, have disclosed relevant health information, and will comply with all course safety instructions.

If participant is under 18 years of age, parent or guardian must complete: