Petra Wilderness International trip participants must have a new medical release form submitted for each calendar year, and should also re-submit one any time they have updated pertinent medical history.
Please fill out the following questions so that trip leaders have any pertinent medical information.
Please read the following statement and sign at the bottom.
I do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with backpacking, hiking, transportation of equipment related to the activities, and traveling to and from trip sites, in which I am about to engage. I certify that I am physically fit to engage in this activity.
1. Activities and Risks
I understand and acknowledge that outdoor recreational activities have inherent risks, dangers and hazards. Participation in such activities may result in injury or illness including, but not limited to: dehydration, heat stroke, frostbite, hypothermia, skin rashes, bee stings, disease carried by ticks and mosquitos, inclement weather, encounters with animals, sprained or broken
bones and falls that may result in serious injury or death.
2. Assumption of Risk
By my participation in these activities, I agree and acknowledge that I am a consenting party to these activities and that I am aware of the risks of these activities. I appreciate the nature of the risks and voluntarily assume those risks.
3. Release of Liability
On behalf of myself and my successors or assigns, I hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Petra Bozeman, Petra Wilderness International, and Petra International Ministries, its leaders and volunteers from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services or otherwise that may arise out of my participation in the backpacking trip and any or all other related and/or secondary activities including travel to and from the trip. I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the leaders and volunteers of Petra Bozeman and Petra International Ministries, their successors and/or assigns.