ACKNOWLEDGEMENT OF RISK FACTORS
We, _________________________________, understand that The Archaeological
Participant’s Name (please print)
Conservancy does not provide insurance coverage for medical care that I may need because of my event at the Blanchard Harris Mounds.
We understand that there are risks and hazards that may arise in the course of this event, including but not limited to accidents; insect or poisonous snake bites; and illness in a rural area. We hereby assume any and all inherent risks and hazards associated with this event.
We further understand that we will be on property owned by The Archaeological Conservancy. We agree that the Archaeological Conservancy is not responsible for any medical services which we might need, and we agree to be financially responsible for any medical bills incurred by us as a result of any required medical treatment.
We further agree for and on behalf of oursleves, our dependents, heirs, executors, administrators, and assigns to release and hold harmless The Archaeological Conservancy and any of its officers, agents, licensees or representatives from any and all liability for injuries or death; for the loss of or damage to our property; or injury or property damage to others caused by us or our guests, however occurring, during any portion of, or in relation to, the event.
_____________________________________ _______________
signature date
_____________________________________ _______________
signature date
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