Friday, August 22, 2025 at 12:00 PM
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PARTICIPANT ASSUMPTION OF RISK
In consideration of participating in Bluffs2Backwaters event and utilization of facilities, equipment, and programs coordinated by Recreation Alliance of Winona (RAW) and its partners Front Porch Management (FPM), Winona Area Mountain Bike Association (WAMB), and City of Winona, by the undersigned and/or their children, the undersigned, for themselves and such participating children, and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that they have inspected and carefully considered such premises, facilities and/or affiliated programs. It is further warranted, that upon such entry into Bluffs2Backwaters event area, and participation in said programming, the undersigned finds and accepts the premises, facilities, equipment, and programming, as safe and reasonably suited for the purpose of such use or participation by the undersigned and such participating children.
Participating in a B2B related activity invites the participant to be outdoors and take part in adventure activities. The undersigned is aware of the different types of facilities, equipment, and activities offered, and is aware of the risks inherent in the participation in such activities and use of such equipment and facilities due to unpredictable weather conditions, and natural or human hazards. While B2B event planners and coordinators attempt to mitigate risks that may be encountered, the participant must be aware of the following potential hazards inherent in related activities:
The list of possible injuries are, but not limited to.
Injury and/or illness due to infection caused by cuts, blisters, fractures, and other soft tissue injuries due to overuse or traumatic accidents.
Injury caused by dehydration and overheating.
Illness due to unanticipated exacerbation of underlying medical conditions such as, but not limited to, epilepsy, diabetes, heart disease, etc.
Illness due to exposure to communicable diseases such as cold/flu virus, COVID, etc., or non-communicable diseases such as giardia.
Injury or infection of eyes, ears, and other vulnerable tissues.
Physical discomfort due to sunburn, or skin burns from a campfire.
Illness due to allergic reactions from plants, or being bitten by insects or animals, or exposure to lymes disease, rabies or other diseases that can cause life threatening illness.
Injury or impairment caused by an accident while being transported by personal vehicle, rental vehicle, or commercial carrier of any type, or while loading and unloading the vehicle.
Injuries may also result from conditions and situations that are completely unpredictable.
Drowning.
The participant must understand that any injuries and/or illnesses sustained during programs may be serious and/or permanent. The participant must also understand that any of the hazards mentioned above can lead to death. To minimize this risk, the instructors and guides must be aware of any existing physical, mental, or emotional conditions the participant may have that could in any negative way affect, or be affected by, participation in the programming.
Please inform the instructor prior to participation if any conditions apply to you, or your child. If you have a condition that is not seen on the list, please inform the program leader(s) of the condition and necessary precautions to ensure safe participation in the activities.
Chronic pain in neck, back, shoulders, arms or legs.
Dizzy spells, fainting, convulsions, persistent headaches.
Shortness of breath, or asthma on exertion.
Serious sprains, broken bones, joint dislocation, weakness of muscles.
Chest Pains on exertion or deep breathing.
Low or high blood pressure.
Hernia
Any OTHER medical conditions not listed above.
By signing this form, the participant, states that they:
(1) have informed the program leaders of any existing conditions that may be affected due to the nature of the program, (2) are aware of and understand the potential hazards, and (3) choose to voluntarily participate.
RELEASE OF LIABILITY
Signing below, or on the waiver acknowledgement form, assumes all responsibility for and all risk of damage, injury, or loss of property that may occur to the undersigned as a participant in programs, using facilities and equipment. The undersigned hereby releases and discharges Recreation Alliance of Winona, its staff, contractors, administrators, and employees from all claims, demands, rights of causes of action, present and future, whether known or unknown, and resulting from the undersigned’s participation in Recreation Alliance of Winona’s programs.
PHOTO RELEASE
Recreation Alliance of Winona has permission to use any photos, video, and audio taken during programming in marketing materials in print and published on social media.
YES
NO
Adult / Guardian Name: ____________________________________
Adult / Guardian Signature: ____________________________________
Date signed: ____________________________________
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