KTA Activity Waiver and Photo/Video Release
Acknowledgment of Participant Responsibility, Express Assumption of Risk, Release of Liability, and Relevant Permissions
Participation in hiking, trail maintenance, and other activities organized, sponsored by, or for the benefit of, Keystone Trails Association (“KTA”) present certain risks, both foreseen and unforeseen. These may include, but are not limited to, personal injury, property damage, and death (“Injuries and Damages”).
I understand and confirm that:
I represent that I am at least 18 years of age, have read and understand the foregoing statement, am competent to execute this agreement, and by doing so hereby waive certain legal rights.
Name (printed): ______________________________________________________________________
Signature: _____________________________________________________ Date: ______________
Name (printed) of Participant (if under 18): _________________________________________________
Parent name and signature required in lines above
I understand and confirm that:
- I am ultimately responsible for my own safety.
- I possess the necessary knowledge, skills, health, and physical fitness to participate in this activity.
- I have read and agree to any rules and conditions applicable to this activity that have been made available to me.
- My participation is at the discretion of the KTA employees, officers, directors, and volunteers (“KTA Leaders and Staff”) assigned to coordinate the activity.
- I agree to WAIVE, DISCHARGE CLAIMS, AND RELEASE FROM LIABILITY KTA. KTA Leaders and Staff, and any member clubs, sponsors, and contractors or other individuals and organizations connected with this activity, (“Associated Entities”) on account of, or in any way resulting from, Injuries and Damages, even if caused by negligence of KTA, KTA Leaders and Staff, or Associated Entities.
- I further agree to INDEMNIFY AND HOLD HARMLESS KTA, KTA leaders and Staff, and Associated Entities from any claims, damages, injuries, or losses resulting from my participation in this activity.
- I understand and intend that this assumption of risk and release is binding upon my heirs, executors, administrators, and assigns, and includes any minors accompanying me during this activity.
- I understand that this agreement is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this agreement is held to be invalid or legally unenforceable for any reason, the reminder of this agreement shall not be affected thereby and shall remain valid and fully enforceable.
- I understand that the term “negligence” in this agreement includes, but is not limited to, ordinary negligence, gross negligence, and willful or reckless conduct.
- I grant KTA its successors and assigns my permission to use my name, voice, story, image and/or likeness associated with this activity for promotion, advertising, and other commercial and business purposes without financial or other remuneration to me.
- I grant KTA its successors and assigns a license to use any images, videos, or other media related to this activity for which I am the rights holder without financial or other remuneration to me.
I represent that I am at least 18 years of age, have read and understand the foregoing statement, am competent to execute this agreement, and by doing so hereby waive certain legal rights.
Name (printed): ______________________________________________________________________
Signature: _____________________________________________________ Date: ______________
Name (printed) of Participant (if under 18): _________________________________________________
Parent name and signature required in lines above
