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Secondary Parent/Guardian ID (Hidden)

Force Secondary Parent

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Basecamp

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Liability Form

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Public Land

Operates on Utah Public Land

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For this application, we will be asking for the following information:

Contact information for applicant (and parent/guardian information for participants under 18)
Local emergency contact
Liability release form signed by applicant (and parent/guardian for participants under 18)

Course # (Hidden)

Course Name

Date

I am applying for:

Essential Eligibility Criteria (EEC)

Colorado Outward Bound School (COBS) courses range from one-day teambuilding programs to 81-day semester courses with the mission of changing lives through challenge and discovery. The physical and mental health and safety of our students and staff are a top priority along with the educational quality of the course experience for all participants. COBS values inclusion, equity, and diversity and strives to provide a positive learning environment for all participants but does not specialize in experiences for people with disabilities or significant mental, emotional, or behavioral conditions. COBS instructors are not therapists and are not trained in adaptive programming, nor are they able to provide specialized individual support for these conditions. The Essential Eligibility Criteria (EEC) are applied to all participants on all COBS courses. The EEC is a list of the minimum essential criteria that a participant must possess for each activity to be eligible for a COBS course, not an all-inclusive summary of what may happen on your course. If an applicant does not meet specific criteria, COBS might be able to accommodate an applicant if it does not significantly alter the fundamental nature of the course activity, jeopardize the health and safety of COBS students or staff, or place an undue administrative or financial burden on COBS.

ONCE ON COURSE, INABILITY TO MEET THESE ESSENTIAL ELIGIBILITY CRITERIA MAY RESULT IN REMOVAL FROM COURSE WITHOUT REFUND.

COBS General

These criteria apply to all COBS programs. It is essential that each participant must:

Be able to recognize safety hazards and effectively communicate with staff in a timely manner regarding impending danger, personal physical, medical, and/or mental health distress, or, if requiring additional support. Participants must be able to warn others in limited visibility, and/or with loud background noise such as thunderstorms or whitewater rapids.
Be able to understand and reliably follow verbal and visual safety instructions whether supervised or not. Hazards students may receive instruction about and may need to be able to visually identify include, but are not limited to hot/cold temperatures, darkness, sunburn, lightning, cliff edges, rugged and uneven terrain, potentially hazardous animals and insects.
Be able to refrain from self-injurious behaviors, violence, threats and aggressive or intimidating outbursts.
Be able to perform essential self-care, including maintaining adequate nutrition and hydration, dressing appropriately for environmental conditions, maintaining personal hygiene, and managing known medical conditions.
Be able to refrain from using alcohol, smoking, and all unapproved substances, and misuse of prescription or non-prescription drugs.
Be able to be respectful of the various identities (such as race, ethnicity, sex, gender, sexual orientation, religion, ability, and nationality) of others; refrain from behavior that is discriminatory to other’s identities, socially exclusive behavior, and language that is derogatory or harmful to others.
Be able to contribute to a safe, inclusive social and learning environment; maintain appropriate relationships with other group members and instructors; and refrain from behavior that disrupts the learning of others.
Be symptom-free of communicable diseases for 72 hours prior to course start and arrive at course start symptom-free of communicable diseases. Arriving with symptoms of communicable diseases may result in isolation or non-admittance to course transportation.

Wilderness-based

It is essential that each participant must meet the COBS General EEC, and must:

Be able to lift at least 35% of their body weight, or 40 lbs. (18 kg) (whichever is less).
Be able to travel and camp during periods of inclement weather and/or at night-time in a remote backcountry environment for the length of course. Course sites may require one or more days of travel to reach the nearest road or advanced medical care.
Be able to manipulate small objects to accomplish functions (ex. knots, carabiners, zippers, buckles, etc.).
Be able to adapt to the physical, emotional, and social demands of an expedition—traveling each day, sleeping on the ground, living and working 24/7 with others; and able to be flexible in ways of living.

THE FOLLOWING ARE ADDITIONAL ESSENTIAL CRITERIA SPECIFIC TO COBS COURSE ACTIVITIES:

Climbing

It is essential that each participant must meet the COBS General EEC, and must:

Be able to use at least three points of contact to climb or descend obstacles.
Be able to wear a helmet to manufacturer specifications. [Our helmets fit head-sizes from 18.9-24.4” (48-62 cm)].
Be able to fit and wear a harness to manufacturer specifications. [Our climbing harnesses fit waist-sizes from 23-43” (58-110 cm)].
Be able to maintain composure and follow instructions in environments with heights and exposure.

Ropes Course

It is essential that each participant must meet the COBS General EEC, and must:

Be able to wear a helmet to manufacturer specifications. [Our helmets fit head-sizes from 18.9-24.4” (48-62 cm)].
Be able to fit and wear a harness to manufacturer specifications. [Our full-body harnesses fit waist-sizes from 18-55” (45-140 cm)].
Be able to maintain composure to follow safety instructions at heights of up to 40 ft (12 m).
Be able to manipulate safety devices above head level.
Weigh less than 270 pounds to be able to ascend to element height. Other participants can still assist and participate from the ground level.

Winter (Nordic skiing, Snowshoeing, Ski/Snowboard

It is essential that each participant must meet the COBS General EEC, and must:

Be able to independently ascend, descend, or traverse rugged, uneven, and steep terrain (on and off-trail) covered in snow, ice, loose rocks, or thick vegetation at elevations of 11,000’ (3350 m) or more while moving gear weighing at least 50 lbs. (22 kg) or 45% of their body weight (whichever is less) over consecutive days using a sled, backpack, or a combination of the two.
Be able to shovel snow for periods of at least 15 minutes.
Be able to maintain composure, dress for the environment, and manage nutrition, hydration, hygiene at 0° F/18° C or colder for consecutive days.
Be able to learn and independently perceive and differentiate visual signals from an avalanche transceiver.
DOWNHILL SKIING/SNOWBOARDING COURSES ONLY: Be able to descend slopes with a blue square rating at ski resorts with comfort and control.

Parent/Guardian Information (Required If Applicant is Under the Age of 18)

What is this parent/guardian's relationship to the applicant?

Please specify this parent/guardian's relationship to the applicant.

First Name

Middle Name

Last Name

Suffix

Jr, Sr, III, etc.

Preferred First Name

Personal Email

Work Email

Preferred Email

Mobile Phone

Would you like text message notifications regarding the status of this application to be sent to this mobile number?

Work Phone

Home Phone

Preferred Phone

Does this parent/guardian live at the same address as the applicant?

Primary Address Type

Country

Address Line 1

City

State/Province

ZIP/Postal Code

Emergency Contact (Other than a parent or guardian if the applicant is under 18)

Please list someone local (within 1 hour of your course location) and available to pick up the participant in case of emergency.

What is the emergency contact's relationship to the applicant?

Please specify the emergency contact's relationship to the applicant.

Full Name

Primary Phone

Other Phone

Email

Hidden Control Fields

Agreement Start

Agreement End

Parent 2 Name

PARTICIPANT AGREEMENT
(With Assumption of Risks, Promise not to Sue, and Release of Liability)

Participant Information

Participant Name

Participant Date of Birth

Agreement Start Date

Agreement End Date

This agreement is effective for all Outward Bound courses and program activities that start within the dates indicated above.

IMPORTANT: Please read this carefully. This document is a legally binding contract. Your signature below indicates that you have read and understand every part of this agreement and that you agree to be bound by all of its terms without limitation.

I am the parent or legal guardian of the minor child (“My Child”) identified below in this Agreement. As consideration for allowing My Child to participate in the course, program, and activities (collectively “OB Activities”) of Outward Bound (“OB”), I agree, on my behalf, and on behalf of My Child to the following:

My Child’s Suitability to Participate: I am aware of and familiar with the OB Activities in which My Child may participate. I have had ample opportunity to ask questions about the OB Activities and their risks. I have accurately completed OB’s application and medical forms concerning My Child. My Child has no mental or physical limitations that might affect My Child’s ability to participate in OB Activities that I have not disclosed to OB in writing. I have discussed with My Child that My Child must obey all OB rules, regulations, and policies.

ACKNOWLEDMENT AND ASSUMPTION OF RISKS: My Child’s participation in OB Activities is purely voluntary. These activities may be physically, mentally, and emotionally challenging. I understand it is impossible to identify all OB Activities in which My Child may participate. I am aware that these activities may include among others: hiking, backpacking, skiing, snowboarding, dogsledding, and/or snowshoeing (on and off trail); camping, including cooking over stoves, open fires or by other means; ropes and/or challenge courses (traversing ropes and structures suspended off the ground, potentially at great heights, swinging or traveling by a cable and pulleys and other such activities); rock, ice, wall or tower climbing; team-building activities; water activities including flat water or whitewater boating, rafting, canoeing, or kayaking; ocean sailing or sea kayaking; surfing, snorkeling, SCUBA diving, or swimming; river crossings; bicycling (including mountain biking); mountaineering (snow, glacier, or ice travel or travel at high altitude); and running.

OB Activities may be modified for any reason, including convenience, weather, or unexpected conditions or events. Activities may be supervised or unsupervised and take place in the United States or in foreign countries. My Child may have time alone in remote areas. My Child may also be in areas with exposure to individuals who are not under OB’s supervision or control.

OB Activities may require that My Child travel by van, car, and public or chartered transport on public or private roads and over remote and unpredictable terrain with steep roads and slippery slopes.

I understand that due to the location and nature of some OB Activities, cell phone coverage and other forms of communication may be unavailable and prompt medical attention, evacuation, and transport, including transport by ambulance, air, and other emergency means, may be significantly delayed.

It is impossible to know or list every risk associated with every activity. Risks will depend on the program. Some, but not all, of the risks My Child may encounter include: unpredictable or harsh weather; earthquakes; lightning; exposure to extreme temperatures (high heat or extreme cold); exposure to high altitude, avalanches and rock fall; rapidly moving water including whitewater and rough seas; drowning; wild animals and marine life; disease carrying, venomous or poisonous plants, insects, animals, and marine life; improper or malfunctioning equipment; slipping, falling or being struck by objects or persons; risks caused or complicated by any mental, physical, or emotional conditions any participant may have; being separated from other participants and leaders for considerable periods; communicable disease; physical contact with other participants or other individuals; and other natural or human-caused hazards. Another risk is the potential misjudgment by OB instructors, volunteers, other staff members, co-participants or contractors related to My Child’s participation, including but not limited to decisions regarding My Child’s physical condition and capabilities, weather, water, terrain, route, or medical treatment. All these risks are inherent to the OB Activities, which means that they cannot be changed or eliminated without altering the essential elements of the activity.

I acknowledge that My Child’s participation in OB Activities involves inherent risks and other risks, hazards, and dangers that can cause or lead to death, injury, illness, property damage, mental or emotional trauma, or disability. I understand that OB cannot ensure My Child’s safety and does not seek to eliminate all these risks, in part, because they facilitate the educational and other objectives of the OB Activities. I agree on my own behalf and on behalf of My Child to assume all the risks of My Child’s participation in OB Activities, whether inherent or not and whether described above or not.

My Release of Liability and Promise not to Sue OB: I, on my own behalf and on behalf of My Child, hereby forever release, waive, and discharge Colorado Outward Bound School, Outward Bound Services Group II, LLC, Outward Bound, Inc., other Outward Bound chartered Schools, and each of their respective agents, employees, officers, directors, trustees, independent contractors, volunteers, and all other persons or entities acting under their direction and control (collectively referred to as “the Released Parties”) from and agree not to pursue a claim or sue the Released Parties for any liability, claim, or expense in any way associated with My Child’s enrollment or participation in any OB Activity including the use of any equipment or facilities. This release includes any losses caused or alleged to be caused, in whole or in part, by the negligence, whether active or passive, of the Released Parties to the fullest extent allowed by law (but not for gross negligence).

My Agreement to Indemnify OB: I further agree to defend, indemnify (to pay or reimburse for money any Released Party is required to pay, including attorney’s fees and costs), and hold harmless the Released Parties with respect to any and all claims brought by or on behalf of me, my child, a family member, personal representative, estate, a co-participant, or any other person for any claims related to My Child’s enrollment or participation in the OB Activities, including the use of equipment or facilities and including claims that OB instructors, staff, or volunteers were negligent. This includes claims for damage or injury that are finally determined to have been caused by My Child’s negligent conduct or intentional misconduct. This indemnity includes payment for attorney’s fees and costs incurred by the Released Parties in defending a claim or suit if the claim or suit is withdrawn or where a court determines that the Released Parties are not liable for the injury or loss.

OB Activities on Federal Lands: I understand that OB Activities may occur on lands owned by the United States (e.g., National Parks, Forest Service, Bureau of Land Management) (hereinafter “Federal Lands”). The United States may not allow 1) for the assumption of risks on Federal Lands other than the inherent risks or 2) for the release of liability or indemnification for claims of negligence. To the extent that such a prohibition is in writing and found by a court of proper jurisdiction to be enforceable as a matter of law, the assumption of risk in the above paragraph is limited to assuming the inherent risks, the release of liability is inapplicable, and the indemnity agreement is limited to claims brought by or on behalf of a co-participant or person other than the student or a family member of the student. The assumption of all risks, the entire indemnity provision, and the release of liability shall remain in full force and effect for any and all OB Activities which do not take place on Federal Lands.

Right to Refuse or Expel and Early Departure: I understand that OB reserves and retains the right, at its sole discretion, to cancel, reject, and/or refuse My Child’s admission and/or participation in OB Activities and that OB may expel My Child for any reason at any time. I further understand that OB may determine that due to medical, behavioral, or emotional reasons, My Child may be required to terminate participation in the OB Activities. I further understand that if OB exercises these rights all deposits, fees, tuition, or other monies paid to OB are non-refundable. I also agree that I will be financially responsible for all costs related to My Child’s early departure from the OB Activities.

Photographic/Video Release: I hereby authorize OB and its Staff to take photographs or videos that may include My Child in them and to use the same for the promotion of OB, including websites, social media, brochures, newsletters, or in any other OB publication or promotion.

Consent to Contact: I hereby consent to and authorize OB Staff to contact My Child after completion of the OB Activities for the limited purposes of OB business, such as OB alumni opportunities and requesting input and feedback from My Child about the OB Activities in which My Child participated.

Choice of Law and Forum Selection: I agree that the substantive state law of Colorado (but not any law that would apply the laws of another jurisdiction) governs this document and any dispute or suit I have (or My Child has) with the Released Parties. Any mediation, suit, or other proceeding must be filed or brought only in the state court with proper jurisdiction located in Denver County, Colorado.

Severance: The assumption of risk, release, promise not to sue, indemnity agreement, and all other provisions in this document are intended to be interpreted and enforced to the fullest extent allowed by law. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions, which shall continue in full force and effect.

Integration: I understand and agree that this Agreement is a fully integrated contract and supersedes any and all oral and/or written expressions by OB about My Child’s participation in the OB Activities.

I HAVE CAREFULLY READ, UNDERSTAND, AND VOLUNTARILY SIGN THIS DOCUMENT. I UNDERSTAND THAT I AM SURRENDERING CERTAIN LEGAL RIGHTS. I AGREE THAT THIS AGREEMENT SHALL BE BINDING ON ME, MY MINOR CHILD, AND MY HEIRS AND SURVIVORS. I HEREBY WARRANT THAT I HAVE LEGAL AUTHORITY TO ACT ON MY CHILD’S BEHALF. I AGREE, ON MY OWN AND ON MY CHILD’S BEHALF, TO THE TERMS AND CONDITIONS IN THIS DOCUMENT.

This agreement is effective for all Outward Bound courses and program activities that start within the dates indicated above.

IMPORTANT: Please read this carefully. This document is a legally binding contract. Your signature below indicates that you have read and understand every part of this agreement and that you agree to be bound by all of its terms without limitation.

As consideration for allowing me to participate in the course, program, and activities (collectively “OB Activities”) of Outward Bound (“OB”), I agree, on my behalf and on behalf of my heirs and survivors, to the following:

My Suitability to Participate: I am aware of and familiar with the OB Activities in which I may participate. I have had ample opportunity to ask questions about the OB Activities and their risks. I have accurately completed OB’s application and medical forms. I have no mental or physical limitations that might affect my ability to participate in OB Activities that I have not disclosed to OB in writing. I understand and agree that I must obey all OB rules, regulations, and policies.

My Assumption of Risks: My participation in OB Activities is purely voluntary. These activities may be physically, mentally, and emotionally challenging. I understand it is impossible to identify all OB Activities in which I may participate. I am aware that these activities could include, but not be limited to: hiking, backpacking, skiing, snowboarding, dogsledding, and/or snowshoeing (on and off trail); camping, including cooking over stoves, open fires or by other means; ropes and/or challenge courses (traversing ropes and structures suspended off the ground, potentially at great heights, swinging or traveling by a cable and pulleys and other such activities); rock, ice, wall or tower climbing; water activities including flat water or whitewater boating, rafting, canoeing, or kayaking; ocean sailing or sea kayaking; surfing, snorkeling, SCUBA, or swimming; river crossings; bicycling (including mountain biking); mountaineering (snow, glacier, or ice travel or travel at high altitude); and running.

OB Activities may be modified for any reason, including convenience, weather, or unexpected conditions or events. Activities may take place in the United States or in foreign countries and may be supervised or unsupervised. I may have time alone in remote areas. I may also be in areas with exposure to individuals who are not under OB’s supervision or control.

OB Activities may require that I travel by van, car, and public or chartered transport on public or private roads and over remote and unpredictable terrain with steep roads and slippery slopes.

I understand that due to the location and nature of some OB Activities, cell phone coverage and other forms of communication may be unavailable and prompt medical attention, evacuation, and transport, including transport by ambulance, air, and other emergency means, may be significantly delayed.

It is impossible to know or list every risk which will depend on the OB Activities. Some, but not all, of the risks I may encounter include: unpredictable or harsh weather; earthquakes; lightning; exposure to extreme temperatures (high heat or extreme cold); exposure to high altitude, avalanches and rock fall; rapidly moving water including whitewater and rough seas; drowning; wild animals and marine life; disease carrying, venomous or poisonous plants, insects, animals, and marine life; improper or malfunctioning equipment; slipping, falling or being struck by objects or persons; risks caused or complicated by any mental, physical, or emotional conditions any participant may have; being separated from other participants and leaders for considerable periods; communicable disease; physical contact with other participants or other individuals; and other natural or human-caused hazards. Another risk is the potential misjudgment by OB instructors, volunteers, other staff members, co-participants or contractors related to my participation, including but not limited to decisions regarding my physical condition and capabilities, weather, water, terrain, route, or medical treatment. All these risks are inherent to the OB Activities, which means that they cannot be changed or eliminated without altering the essential elements of the activity.

I acknowledge that my participation in OB Activities involves inherent risks and other risks, hazards, and dangers that can cause or lead to death, injury, illness, property damage, mental or emotional trauma, or disability. I understand that OB cannot ensure my safety and does not seek to eliminate all these risks, in part, because they facilitate the educational and other objectives of the OB Activities. I agree to assume all the risks of my participation in OB Activities, whether inherent or not and whether described above or not.

My Release of Liability and Promise not to Sue OB: On behalf of myself and my heirs and survivors, I hereby forever release, waive, and discharge Colorado Outward Bound School, Outward Bound Services Group II, LLC, Outward Bound, Inc. other Outward Bound chartered Schools, and each of their respective agents, employees, officers, directors, trustees, independent contractors, volunteers, and all other persons or entities acting under their direction and control (collectively referred to as “the Released Parties”) from and agree not to pursue a claim or sue the Released Parties for any liability, claim, or expense arising from or related to my enrollment or participation in any OB Activity, including the use of any equipment or facilities during OB Activities. This release includes any losses caused or alleged to be caused, in whole or in part, by the negligence, whether active or passive, of the Released Parties to the fullest extent allowed by law (but not for gross negligence).

My Agreement to Indemnify OB: I further agree to defend, indemnify (to pay or reimburse for money any Released Party is required to pay, including attorney’s fees and costs), and hold harmless the Released Parties with respect to any and all claims related to or arising from my enrollment or participation in the OB Activities including the use of equipment or facilities and including claims that OB instructors, staff, or volunteers were negligent. This includes claims for damage or injury that are finally determined to have been caused by my negligent conduct or intentional misconduct. This indemnity includes payment for attorney’s fees and costs incurred by the Released Parties in defending a claim or suit if the claim or suit is withdrawn or where a court determines that the Released Parties are not liable for the injury or loss.

OB Activities on Federal Lands: I understand that OB Activities may occur on lands owned by the United States (e.g., National Parks, Forest Service, Bureau of Land Management) (hereinafter “Federal Lands”). The United States may not allow 1) for the assumption of risks on Federal Lands other than the inherent risks or 2) for the release of liability or indemnification for claims of negligence. To the extent that such a prohibition is in writing and found by a court of proper jurisdiction to be enforceable as a matter of law, the assumption of risk in the above paragraph is limited to assuming the inherent risks, the release of liability is inapplicable, and the indemnity agreement is limited to claims brought by or on behalf of a co-participant or person other than the student or a family member of the student. The assumption of all risks, the entire indemnity provision, and the release of liability shall remain in full force and effect for any and all OB Activities which do not take place on Federal Lands.

Right to Refuse or Expel and Early Departure: I understand that OB reserves and retains the right, at its sole discretion, to cancel, reject, and/or refuse my admission and/or participation in OB Activities and that OB may expel me for any reason at any time. I further understand that OB may determine that due to medical, behavioral, or emotional reasons, I may be required to terminate participation in the OB Activities. I further understand that if OB exercises these rights all deposits, fees, tuition, or other monies paid to OB are non-refundable. I also agree that I will be financially responsible for all costs related to my early departure from the OB Activities.

Photographic/Video Release: I hereby authorize OB and its Staff to take photographs or videos that may include me in them and to use the same for the promotion of OB, including websites, social media, brochures, newsletters, or in any other OB publication or promotion.

Choice of Law and Forum Selection: I agree that the substantive state law of Colorado (but not any law that would apply the laws of another jurisdiction) governs this document and any dispute or suit arising from or related to my enrollment or participation in the OB Activities. Any mediation, suit, or other proceeding must be filed or brought only in the state court with proper jurisdiction located in Denver County, Colorado.

Severance: The assumption of risk, release, promise not to sue, indemnity agreement, and all other provisions in this document are intended to be interpreted and enforced to the fullest extent allowed by law. Any portion of this document deemed unlawful or unenforceable is severable and shall be stricken without any effect on the enforceability of the remaining provisions, which shall continue in full force and effect.

Integration: I understand and agree that this Agreement is a fully integrated contract and supersedes any and all oral and/or written expressions by OB about my participation in OB Activities

I HAVE CAREFULLY READ, UNDERSTAND, AND VOLUNTARILY SIGN THIS DOCUMENT. I UNDERSTAND THAT I AM SURRENDERING CERTAIN LEGAL RIGHTS. I AGREE THAT THIS AGREEMENT SHALL BE BINDING ON ME AND MY HEIRS AND SURVIVORS. I AGREE TO ALL TERMS AND CONDITIONS IN THIS DOCUMENT.