PLEASE READ CAREFULLY

I understand that outdoor recreational activities do involve risk and I am aware of the risks and dangers inherent in the activities that I and my family, including minor children, have contracted for. By signing this release for myself and other family members, including minor children, I understand the intent of this release and agree to absolve and hold harmless Caitlin Price, Elizabeth Coppola, White Eagle Vision Expeditions, and their agents and associates connected with this event in any way from and against any blame or liability for any injury, misadventure, harm, loss, inconvenience, or damage suffered as a result of participation in contracted activity or any activity associated with it. As participants in the activities contracted for or associated with White Eagle Vision Expeditions, I assume for myself, and my family, including minor children, full responsibility for any injuries or damages which may occur to us while engaging in the contracted events and do fully and forever release White Eagle Vision Expeditions, its owners, employees and agents from any and all claims, demands, damages, rights of action or causes of action present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of participation in an activity, or use of the facilities, equipment and property of White Eagle Vision Expeditions. I understand and agree that any bodily injury, death, or loss of personal property and expenses thereof, while participation in contracted activities are my responsibility. I also state and acknowledge the risks associated with camping, the riding of animals, hiking, climbing, wilderness travel and living, collision with a vehicle, rock, log, tree, immersion in water or hypothermia, falling from an animal, sleigh, wagon or while on the ground, accidents or illness in remote places without medical facilities, physicians, or nurse, and exposure to temperature extremes and inclement weather. In consideration of and as part payment for the right to participate in these activities associated with Caitlin Price, Elizabeth Coppola, and White Eagle Vision Expeditions, and any other activities, services, or food that may be arranged for me or my family by White Eagle Vision Expeditions and its agents and associates, I do voluntarily participate in these activities with the knowledge and understanding of the dangers and risks involved, and hereby agree that myself and my family, including minor children, are in good health with no physical defects which might be injurious to us and that we are able to handle the hazards of weather conditions, animals, walking, riding and all conditions associated with the activities scheduled or associated with our outdoor adventure. I understand that every route or activity chosen as a part of our outdoor adventure may not be the safest but has been chosen for its interest or challenge. I and my family also understand that horses, irrespective of their training and usual past behavior and characteristics, may act or react unpredictably at times based upon instinct or fright which is an inherent risk to be assumed by each participant in the activity. This Express Assumption of Risk and release of liability also acts as a waiver for any protection that may be afforded by any statute or law in any jurisdiction whose purpose, substance, and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which the person giving the release does not know or suspect to exist at the time of executing this release of liability. I understand that I must provide my own health and accident insurance, if desired, and that I am responsible for all costs related to an accident or illness. I further understand that having read the above agreement and release of liability that by signing this agreement in behalf of myself and my family, including minor children, that I surrender valuable rights. I do sign this release form and do so freely and voluntarily. I further agree to follow and obey the rules, instruction, and information of White Eagle Vision Expeditions, and its owners, employees, or agents and associates while participating in any activities. I hereby give permission to Caitlin Price, Elizabeth Coppola, or an adult associate to sign for medical treatment for myself or my child if necessary. By signing below I/we acknowledge that I/we have read and understand the forgoing instrument and have asked any questions that have come to mind, with answers given that I/we have understood.

Signature of Participant if over 14 years of age:

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Signature of Parent or Legal Guardian if participant is under 18 years of age:

________________________________________________________ Date_____________________

Name of all participants, age in parentheses. Please print.

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If any minors, please provide relationship of each:

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Street Address:

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City ______________________________________ State ____________________ Zip __________________

Phone ______________________________________ email ____________________________________________________

Dates you are coming to camp: _______________________________________

Emergency Contact Information:

Name _____________________________________________________

Address  ______________________________________________________________ Phone ________________________

Medical Information:

Doctor ______________________________________________________  Phone _________________________________

Insurance __________________________________________ Policy/Member # ___________________________________

Please describe your general health (include all Participants).

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Allergies: To bee stings: _______________ To medications: ___________________________________________________

Other ________________________________________________________________________________________________

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Dietary restrictions:

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Any other helpful medical information:

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Does your child have any behavioral problems or concerns that the Ekone staff should be aware of? 

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How did you find out about White Eagle Vision Expeditions? ___________________________________________________

Trip or Activity ________________________________________________________________________________________

Date(s) of Activity _________________________________________

Please sign here if you are over 18 and choose not to wear a safety helmet while riding. (Children under 18 are required to wear a helmet.)

Signature ____________________________________________________ Date ___________________________________