Health Statement
This project involves participation in outdoor activities that are, by their nature, physically demanding. Therefore, all participants must be free of medical or physical conditions that might create undue risk to themselves or to others who depend upon them. In addition to being more exposed than usual to weather extremes, you may travel long distances in mountainous environments. Furthermore, medical facilities may be several hours away in case of an emergency.
Volunteer Contact Info








Emergency Contact




Volunteer Health Profile

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**If not, please consult a physician before coming on the project.
Allergies

Medication

Altitude

Existing Injuries / Medical Conditions

Volunteer Release of Liability

I am at least 18 years of age (or, if I am younger than 18 years of age, my parent or guardian must also sign this Release of Liability) and in good health. I have no allergy or other disorder that could prevent me from working safely as a volunteer. I realize that my participation in the project may involve using heavy tools and that I will be working with other participants who may not be accustomed to this kind of labor.

I FULLY REALIZE THE DANGERS OF PARTICIPATING IN AN EVENT OF THIS TYPE AND
VOLUNTARILY ASSUME ALL THE RISKS ASSOCIATED WITH SUCH PARTICIPATION.

I understand the risks include, by way of example and not limitation, the following: rock fall, rock and snow slides, lightning, sudden changes in weather, altitude sickness, dehydration, injuries resulting from heavy labor or trail tools, falling trees and aggressive wildlife; and I will not hold FDRD, any of its employees or directors or any affiliated organization responsible for these or other hazards. Because the work will be performed in a back country setting, I understand that emergency medical care may not be readily available.

I will follow all directions from FDRD personnel and comply with all applicable rules for volunteers working on the project. In return for my receiving permission from FDRD and any other sponsoring organization to participate in the project, and for other good and valuable consideration, I fully release and indemnify FDRD and all other sponsoring organizations, as well as their respective officers, directors, employees, and agents, from all liability, claims, demands, and causes of action, arising out of damage, loss, or injury to me (including death) or to my property, from whatever cause, as a result of my participation in the project. I intend this Release of Liability to be broadly construed for the benefit of the released parties and to be binding upon my family, heirs, personal representatives, and insurers.

I grant FDRD and other sponsoring organizations permission to use my image in photographic or video recordings of the project, and I waive any right to compensation for such use.

I agree that Colorado substantive law governs this Document and any dispute I may have with FDRD and all other aspects of my relationship with FDRD; and I agree that any suit or other proceeding involving FDRD must be filed or conducted only in Summit County, Colorado. I will attempt to negotiate in good faith and attempt to settle any dispute (not settled by discussion) through mediation before a mutually acceptable Colorado mediator. I authorize FDRD or the project’s staff or representatives, and/or other medical personnel to obtain or provide medical care for me, to transport me to a medical facility and to provide treatment they consider necessary for my health; I agree to pay all associated costs. FDRD reserves the right to dismiss any volunteer from a FDRD project who staff believe, in their discretion, presents a safety concern or medical risk or otherwise conducts him or herself in a manner detrimental to the project. I agree to be responsible for all costs of early departure, whether resulting from dismissal or otherwise. This document is intended to be interpreted broadly and enforced to the fullest extent allowed by law. Any portion of this Document deemed unenforceable shall not affect the remaining provisions, and those remaining provisions shall continue in full force and effect.

I HAVE CAREFULLY READ THIS FORM AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THIS FORM IS A RELEASE OF LIABILITY, A WAIVER OF CLAIMS, AN AGREEMENT NOT TO SUE AND A CONTRACT BETWEEN MYSELF AND THE FRIENDS OF THE DILLON RANGER DISTRICT AND FOR THE BENEFIT OF OTHERS DESCRIBED HEREIN.


**Minor Consent Form

Since you are under 18 years of age, please download the following form, have parent or guarding sign it and bring with you to project. Minor release


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