Acknowledgement of Risks Related to NH Outdoor Adventures

    • Trip Date
    • Year

Before participating in the NH Outdoor Adventures trip you must be made aware of the following potential risk associated with participating in trip activities.

Be aware that Surfing has the possibility of physical injury, pain, physical or mental disability, mental trauma, or death directly or indirectly caused by but not limited to:

  • immersion in cold water
  • immersion in fast-moving water
  • drowning or near drowning
  • manmade (i.e., surf boards) objects falling from above
  • hiking or walking in rugged and slippery terrain
  • bites or stings inflicted by animals, insects, reptiles, or plants
  • the forces of nature, including lightning, weather changes, hypothermia, hyperthermia, sunburn, high winds, and others not named
  • the physical exertion associated with the outdoor activity
  • become lost and isolated from help
  • vehicle related accidents
  • property damage or loss

Be aware that Climbing has the possibility of physical injury, pain, physical or mental disability, mental trauma, or death directly or indirectly caused by but not limited to:

  • falling from high places
  • being hit by manmade or natural objects falling from above
  • hiking or walking in steep, rugged, and slippery terrain
  • bites or stings inflicted by animals, insects, reptiles or plants
  • the forces of nature, including lightning, weather changes, hypothermia, hyperthermia, sunburn, high winds, and others not named
  • the physical exertion associated with the outdoor activity
  • become lost and isolated from help
  • vehicle related accidents
  • property damage or loss

Be aware that Camping and Hiking has the possibility of physical injury, pain, physical or mental disability, mental trauma, or death directly or indirectly caused by buy not limited to:

  • hiking or walking in rugged and slippery terrain
  • bites or stings inflicted by animals, insects, reptiles, or plants
  • the forces of nature, including lightning, weather changes, hypothermia, hyperthermia, sunburn, high winds, and others not named
  • the physical exertion associated with the outdoor activity
  • become lost or isolated from help
  • vehicle related accidents
  • property damage or loss
  • falling from high places
  • being hit by manmade or natural objects falling from above
  • burns caused by stoves and campfires
  • immersion in cold water
  • immersion in fast-moving water
  • drowning or near drowning

Be aware that Paddling has the possibility of physical injury, pain, physical or mental disability, mental trauma, or death directly or indirectly caused by but not limited to:

  • immersion in cold water
  • immersion in fast-moving water
  • drowning or near drowning
  • manmande (i.e., canoe) objects falling from above
  • hiking or walking in steep, rugged, and slippery terrain
  • bites or stings inflicted by animals, insects, reptiles, or plants
  • the forces of nature, including lightning, weather changes, hypothermia, hyperthermia, sunburn, high winds, and others not named
  • the physical exertion associated with the outdoor activity
  • become lost and isolated from help
  • vehicle related accidents
  • property damage or loss

* By signing this document I certify that I have carefully explained the above potential risks and allowed time for all students to ask questions regarding these risks.

I was present at the time of the acknowledgment of risk presentation or receive the same information at a later time, but before participating to the class activities.

    • Trip Leader Signature *
    • Date
    • Co-Trip Leader Signature *
    • Date
    • Student Name (Print)
    • Student Signature *