Name *

First Name

Last Name

Age group and participants *

Adult(s)

Adult and Elementary Age Minor(s)

Adult and Minor(s) Under 14 years of age

Adult and Minors over 14 years of age

Another Participant's Name (all additions optional)

First Name

Last Name

Another Participant's Name

First Name

Last Name

Another Participant's Name

First Name

Last Name

Another Participant's Name

First Name

Last Name

Primary Emergency Phone Number for the above participants *

(###)

###

####

Secondary Emergency Phone Number for the above participants *

(###)

###

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Understanding of Supervision: 'Ohana Sports Mountaineering club is meant to be a multi-generational program and different ages of students will need an adult with them depending on the activity. Those in Elementary school need an assigned adult with them at everything. An adult can supervise up to 3 elementary age children at a time, it does not need to be their parent or guardian. The parent/guardian must communicate via email or text who is the supervising adult for their elementary child. Those under 14 years of age may attend the meetings at OTEC by themselves and it is the parent/guardian’s responsibility to know their location, we do not give text messages to let you know they are absent unless asked to do so. Those under 14 years old but in middle school need an assigned adult or teen sibling on the hikes, an adult can supervise up to 5 middle schoolers a teen sibling can supervise up to 2 middle schoolers on hikes. Those 14 and over can attend all meetings and hikes without supervision. ‘Ohana Sports staff is teaching and leading, they are not adult supervision for K-8th graders. *

All the adults signing this form agree

Participation expectations: To participate in the hikes, a participant must be attempting to attend the meetings. If unable to participate in the meetings, then please communicate with us ohanaselfdefense@gmail.com so we understand your situation. The different hikes have different levels of difficulty and participants are expected to both know and be honest about their fitness and experience level in order to participate. During the hikes and classes the assigned adult is responsible to stay in direct line of sight of their minors. We will have radios on the hikes to stay in touch for safety but will split into fitness level groups so faster hikers are able to move on. *

All the adults signing this form agree

Permission to use images of your student 'Ohana Sports is authorized by to use video or photographs of you student for advertising, publicity and public relations. No further claims may be made. If there is a court ordered safety issue with use of photos/videos such as foster children please let us know in advance. *

All the adults signing this form agree

We the adults on this form Agree - but please try not to use mine/my family members image due to personal circumstances. Please note use of images in public settings is not illegal, but we try to honor your request.

Behavior Expectations: If persistent or severe behavior problems are interrupting programing or endangering participants or staff, parents/guardians will be contacted to remove their minor from the program immediately. If the behavior is coming from an adult they will immediately be asked to remove themself from the group and understand that refusal to do so would warrant a 911 call. We do not tolerate any bullying, physical, verbal or emotional abuse or posturing toward others or staff. I give 'Ohana Sports the authority to exercise this discipline/safety policy. If I have minors, I will be available should my student be persistently disrespectful or unsafe and need to be picked up immediately. *

All the adults signing this form agree

Emergency Care By checking this box I agree that if 'Ohana Sports feels a participate needs 911 services - emergency medical staff will be called. We will then attempt to contact the emergency contact on file. If 'Ohana Sports supervisor on duty determines your student is ill or injured and needs emergency care and if 911 services medical staff determines camper needs treatment, it will be provided and billed to campers family. *

All the adults signing this form agree

Full Responsibility Waiver I, _____________________________, take sole responsibility for any personal injury I (or my participating family members) may incur over the course of any and all 'Ohana Sports programs we may participate in. The inherent risks of mountaineering include environmental hazards such as altitude sickness, falling rocks and ice, avalanches, and inclement weather like storms and extreme temperatures. Additional dangers come from terrain features like steep slopes, falls, falling into crevasses, improper use or failure of equipment, and human factors such as fatigue, poor judgment, inadequate preparation, and wildlife encounters. These risks can lead to serious injury, disability, or death, and while they cannot be eliminated, they can be minimized through proper training, planning, and safe behavior. Each adult is responsible to know they and their minors limits and abilities. All safety instructions by leadership are expected to be followed and club members are expected to be in groups of 3 or more at all times. If special training for a hike or event is expected, participants are expected to complete the training or not participate. I acknowledge that participation in this program exposes me to potential risks and I release all instructors or fitness coaches from any and all liabilities regarding an injury and will cover all medical costs associated with injuries from participation. I shall not now or in the future prosecute any lawsuit against 'Ohana Sports or its directors, board of directors or instructors. I’m aware that this agreement will be legally binding. I have read and understood this Injury Waiver and Medical Release Form as a participant or a parent/guardian. *

I and all family member adults on this form agree

I understand that there are risks in attending fieldtrips and me or my family may be inadvertently exposed to illness, including COVID. ‘Ohana Sports follows all laws and regulations. I release 'Ohana Sports, all instructors or fitness coaches from any and all liabilities regarding illness, closures and will cover all medical costs associated with illness from participation. I shall not now or in the future prosecute any lawsuit against 'Ohana Sports or its directors, board of directors or instructors. Students and staff with active cold symptoms are not allowed at field trips. *

All the adults signing this form agree