KNOW ALL PERSONS BY THESE PRESENTS THAT:

     The undersigned being of lawful age, for the sole consideration of and as a condition precedent to participation in an educational program, clinic and/or evaluation known as:

_________________________________________________________DATE:__________________,
(fill in program/ activity and date thereof)
for themselves and their heirs, executors, administrators, successors and assigns release, acquit and forever discharge or hold harmless the National Ski Patrol, the Central Division, its subunits, the Program Advisors, Administrators, Instructors and fellow participants, their agents, servants, officers, successors, heirs, executors, administrators, of and from any and all claims, actions, causes of action, demands, rights, damages, costs, loss of services, expenses, attorney's fees, and compensation whatsoever, which the undersigned now have or which may hereafter accrue on account of or in any way growing out of any and all known and unknown, foreseen and unforeseen bodily and personal injuries and property damage and the consequences thereof resulting or to result from the accident, casualty, or event which occurred as a result of or the undersigned's participation in the said educational program and/or evaluation.

     The undersigned hereby declare and represent that he/she understands that the educational program and/or evaluation that he/she seeks to participate in is entirely elective and may involve a high degree of risk of injury, disability or death, and that in making this release, it is understood and agreed that the undersigned relies wholly upon the undersigned's own judgment, belief and knowledge of the risks, nature, extent, and effect of the educational program and/or evaluation and, therefore, is made without reliance upon any statement or representation of the party or parties hereby released or their representatives.

    The undersigned further declares and represents that no promise, inducement or agreement not herein expressed has been made to the undersigned and that the terms of this release are contractual and not a mere recital.

    Further that the undersigned have or will discharge, or indemnify and save harmless the releases, AS STATED ABOVE, from any and every claim or demand, third‑party claim, lien, known or unknown to either party hereto, of every kind or character which may ever be asserted by reason of the undersigned's participation in the said educational program and/or evaluation.

THE UNDERSIGNED HAVE READ THE FOREGOING RELEASE AND FULLY UNDERSTAND IT.

DATED this ________________day of _____________________________, 2______________

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Printed Name of Participant

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Signature of Participant

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Printed Name of Parent (Guardian) if Participant is a Minor

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Signature of Parent (Guardian)