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AGREEMENT TO ASSUME ALL RISKS; RELEASE OF LIABILITY/ AGREEMENT NOT TO SUE & TO INDEMNIFY

Please read this contract carefully. It releases Grand Canyon Youth from liability and waives certain rights.

In consideration of being permitted to participate in an adventure trip with Grand Canyon Youth, Inc., an Arizona nonprofit corporation (“GCY”), I, the Participant (or, if the Participant is under the age of 18, I on the Participant’s behalf), understand, acknowledge, and contractually agree as set forth below (the “Agreement”):

1. Acknowledgement of Dangers and Risks:

I understand, acknowledge, and agree that participating in outdoor pursuits including rafting and camping on a river trip and transport by GCY to and from these activities (hereinafter the “Activity”) can be HAZARDOUS AND INVOLVE THE RISK OF PHYSICAL INJURY AND/OR DEATH. I understand, acknowledge, and agree that participating in the Activity involves certain inherent dangers and risks that cannot be eliminated or controlled by GCY, the presence of which are integral to the recreational and adventurous nature of the Activity. The following list of dangers and risks that could cause physical or emotional injury or death is not exhaustive, and I understand that there are many other dangers or risks associated with the Activity not listed below: 1) Risks associated with boating and being around or in water, including: capsizing or sinking watercraft; falling into water; water immersion; drowning; hypothermia; rapid changes in water flow, level, or speed; jolting or jarring resulting in contact with hard objects such as boats, oars, oarlocks, other participants, containers, coolers, or other equipment, supplies, or objects; becoming tangled in ropes; foot entrapment; trapped limbs; jumping, diving, or being washed or thrown into unfamiliar water with submerged hazards; striking objects under the surface of the water; being pinned against trees, tree strainers, rocks, roots, or other submerged objects; boat equipment malfunction; slipping, tripping, or falling in, around, or from boats; and slipping, tripping, or falling while walking, paddling, or wading in rough terrain or along rivers edge; and errors in guide judgment, or lapse in guide skill. 2) Risks associated with transport in a motor vehicle, including: all commonly understood risks of riding in a vehicle; being struck or other injurious contact with vehicles; injurious contact with equipment being unloaded from vehicles; risks associated with riding in a vehicle in remote terrain on backcountry or four-wheel-drive roads; and lapse in driver judgment or skill. 3) Risks associated with being on an outdoors trip with other participants and relying upon guides, including: mentally or physically unstable or criminal trip participants; dangerous actions, negligence, intentional misconduct, or malice by other participants; dangerous actions taken by other participants as a result of consumption of alcohol or drugs; and errors in guide judgment or lapse in guide skill. 4) Risks associated with camping, recreational activities, and exposure to the elements on a river trip, including: slipping, tripping, or falling; flying man-made objects such as balls, frisbees, gear, or equipment; falling trees or other objects; being struck with or injured by a tool while performing service projects; injury associated with removing vegetation or picking up trash on service projects; moving objects associated with extreme weather and wind; extreme weather; temperature fluctuations; wind; hail; storms and lightning; landslides; rock-fall; mudslides; avalanche; water crossings; flash flood; low light or darkness; wildfire; uncontrolled camp or kitchen fire; kitchen- or cooking-related dangers; choking; food-borne bacteria or virus; water-borne bacteria or virus; frostbite and hypothermia; mental or physical shock; burns or burning associated with campfires, hot surfaces, and sun exposure; all manner of injuries including brain injury, spinal injury, paralysis, fractures, punctures, burns, strains, sprains, lacerations, internal injury, sickness or disease, exposure to airborne pathogens and viruses, including but not limited to contraction of COVID-19; heat exhaustion, heatstroke, dehydration, hyponatremia, asphyxiation, and high-altitude sickness; snake bites; insect bites; scorpion stings, bee stings; allergic reaction to insects or plants such as poison ivy; allergen exposure; exposure to or attack by wildlife or domesticated animals; bodily failure while carrying heavy objects; overexertion; fatigue; dizziness or disorientation; diminished reaction time; getting lost; inadequate or incorrect medical care; lack of readily accessible medical resources or care; poorly executed or failed rescue attempts; failure or lack of communication equipment or cell phone service; dangerous contact with rescue vehicles, boats, or aircraft; inadequate or malfunctioning equipment; & mental, physical, or emotional injury or distress from exposure to any of the above. I understand that GCY has done its best to list the known risks of participating in the Activity, but agree that I have the right, obligation, and opportunity to research and verify the risks of participating in the Activity.

2. Assumption of Risk:

I acknowledge and agree that I am choosing to take part in the Activity despite the dangers and risks of doing so, and I freely choose to accept the risks of participating in the Activity. I recognize that property loss, physical or emotional injury, and death are all possible while participating in the Activity. I expressly acknowledge and assume all risks, dangers, and consequences of the Activity, including but not limited to those risks, dangers, and consequences set forth in paragraph 1, above, that may result in physical or emotional injury, property damage, or death.

3. Participant’s Responsibilities and Representations:

I represent that I am physically and mentally capable of participating in the Activity. I understand the importance of all safety instructions given to me, whether in writing or verbally, and agree to follow all staff instructions at all times while engaging in the Activity. Further, I represent that I have had the opportunity to both independently research and discuss with GCY the risks of participating in the Activity and my assumption of those risks. I have been informed of and understand the expectations of me while engaging in the Activity. I have been informed of the increased risk associated with running whitewater and of the changing nature of such risk as water levels change. I understand that I am responsible for truthfully disclosing and notifying GCY of any risk to me or other participants associated with my own mental or physical conditions, including allergies that could result in anaphylaxis or other adverse physical reactions. I specifically and expressly agree that I have full responsibility for managing and treating any such conditions to prevent injury to myself or others. I am not relying on any prior oral, written, or visual representations made by GCY, including in any website or promotional materials, to induce me to go on any adventure activity. With all of the foregoing in mind, I assume full responsibility for my own safety.

4. Release of Liability and Agreement Not to Sue:

Fully understanding the foregoing paragraphs, and in exchange for GCY’s agreement to allow the Participant to participate in the Activity, I HEREBY AGREE NOT TO SUE GCY, its affiliated companies and subsidiaries, or any of their respective successors in interest, affiliated organizations and companies, insurance carriers, agents, contractors, employees, representatives, assignees, officers, directors, and (each hereinafter a “Released Party”) for any damage (including but not limited to equipment damage), injury, or loss to Participant, including death, that Participant may suffer arising in whole or in part out of Participant’s participation in the Activity. By signing this Agreement Not to Sue, I am releasing any right to make a claim or file a lawsuit against any Released Party. I agree to hold harmless and release each and every Released Party from any and all liability and/or claims or causes of action for injury or death to persons or damage to property arising from Participant’s participation in the Activity, INCLUDING, BUT NOT LIMITED TO THOSE CLAIMS BASED ON ANY RELEASED PARTY’S ALLEGED OR ACTUAL NEGLIGENCE or breach of any contract and/or express or implied warranty.

5. Agreement to Indemnify:

I agree to INDEMNIFY (REIMBURSE) each Released Party from and for any and all claims of the Undersigned and/or a third party arising in whole or in part from Participant’s participation in the Activity. In other words, if Participant and/or anyone on Participant’s behalf files any lawsuit or brings any claim for injury or damage against any Released Party, undersigned will be required to pay back to any and all Released Party all sums of money incurred by, or paid by or on behalf of, any Released Party on account of the bringing of such suit or claim, including all attorney’s fees and costs.

6. Medical Authorization, Release, and Indemnification:

I hereby 1) authorize GCY to undertake any emergency medical care for Participant; 2) authorize any Released Party and/or their authorized personnel to call for medical care for the Participant or to transport the Participant to a medical facility or hospital if, in the opinion of such personnel, medical attention is needed; 3) agree that, following Participant’s transport to any such medical facility or hospital, the Released Party shall not have any further responsibility for Participant; 4) agree to pay all costs associated with the medical care and related transportation provided for the Participant; and 5) shall indemnify and hold harmless (as set forth in paragraph 5, above) any Released Party from any and all liability and/or claims associated with such medical care and/or related transportation.

7. Application of Agreement to Minor Participants:

In the case of a minor Participant, I, as parent or legal guardian, acknowledge that I am signing this Agreement on behalf of the minor Participant, and that the minor shall be bound by all of the terms of this Agreement. Additionally, by signing this Agreement as the parent or legal guardian of a minor Participant, I understand that I am also waiving certain rights on behalf of the minor that the minor otherwise may have. I agree that but for the foregoing, the minor Participant would not be permitted to participate in the Activity, and I sign this document out of a desire to have the Participant be allowed to participate in the activity. I represent that I am a legal parent or guardian of the minor Participant.

8. Representation of Capacity to Contract, and Acknowledgement That Agreement is a Binding Contract:

I represent that I am at least 18 years of age, and that I have the capacity to understand and be bound by all of the provisions of this Agreement. I understand and acknowledge that this Agreement is a contract and shall be binding to the fullest extent permitted by law. It is my intent that this Agreement shall be binding upon my assignees, subrogors, distributors, heirs, next of kin, executors, and personal representatives, and those of the Participant.

9. Agreement to Application of Arizona Law and Selection of Forum:

I agree that any and all claims for injury and/or death arising from my participation in the Activity shall be governed by Arizona law, and that the exclusive jurisdiction for any claim shall be in the Coconino County, Arizona District Court, without regard to where the incident giving rise to any lawsuit occurs, and without regard to any jurisdiction’s choice of laws analysis. I agree that GCY is not a common carrier.

10. Miscellaneous Provisions:

If any sentence, clause, paragraph, or part of this Agreement is declared unenforceable, the remainder shall continue in full force and effect. This Agreement can be modified only in writing. An electronic signature or acknowledgment upon this Agreement is fully binding and enforceable, and a copy of this executed Agreement may be used as if it is the original. I agree that any subcontractors or other vendors utilized by GCY during or incidental to the Activity are solely responsible for injury that occurs to me while I am in their care, and that GCY is not in a joint venture with any such vendor.

I HAVE CAREFULLY READ THE FOREGOING AGREEMENT AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS THAT I OR MY MINOR CHILD MAY OTHERWISE HAVE. I AGREE TO BE FULLY BOUND BY THE TERMS OF THIS AGREEMENT.

Parent/Legal Guardian Signature - Assumption of Risk*

Legal Guardian Full Name*

Date*

Participant Signature - Assumption of Risk*

Participant Full Name*

Date*

Parent / Guardian Permission for Participation

There are inherent risks involved with participating in the GCY expedition. It is a parent’s/guardian’s responsibility to become informed about these risks and make a deliberate choice in supporting your child’s participation. Many of the known risks are listed in the liability waiver that is a part of this application, but parents/guardians have the affirmative and final obligation to become informed about GCY programs prior to allowing their child to participate.

We rely on parents’/guardians’ judgment to not involve their child in our expeditions if they believe the child could pose a behavioral risk to themselves or others. Knowing disregard of this potential risk may result in parent/guardian liability.
GCY is a private, nonprofit organization. We have the right to exclude any participant who we believe, at our sole discretion and for any reason, could pose a risk to themselves or other participants beyond our ability and resources to manage within an appropriate standard of care. All participants must meet GCY’s “Essential Eligibility Criteria.” Parents/guardians must review this document and hereby certify that their child meets the stated criteria.
If Trip Leaders and/or Trip Coordinators have cause to believe any participant is unwilling to follow directions, safety rules, the law, or represents an unacceptable risk to themselves or to others, that participant may be separated from the group and evacuated from the trip at the expense of parents/guardians. Participant may be held legally responsible if they break any law while participating in the GCY program.
Parents/Guardians hereby agree to talk with their child about the requirements of participation in a GCY program, stressing the importance of following all expectations and safety practices set by GCY.
Parents/Guardians should encourage their child to communicate any concerns immediately with adult supervisors on the trip.

I have read and acknowledge the information and requirements in this form and consent to my child’s participation in a GCY program knowing of all above risks. My child fully understands, and they will adhere to all expectations outlined in the personal contract. My child may also participate in all activities pertaining to GCY, including fundraisers, community service projects, transportation, and river trips during their involvement. Breach of this contract may lead to participant’s dismissal from the program.

Parent/Legal Guardian Signature - Parent/Guardian Permission for Participation*

Cancellation & Refund Policy

Grand Canyon Youth reserves the right to cancel any expedition and/or alter expedition dates due to weather, safety concerns, and/or any other unforeseeable circumstances. If GCY cancels your expedition, all payments will be refunded. If a participant cancels more than 45 days before the departure day, expedition payments will be refunded, less a 10% non-refundable deposit of the total expedition price. All other cancellations are ineligible for a refund. *If you are participating through a school/organization, your school/organization may have an overriding cancellation or refund policy.

Parent / Legal Guardian Initials*

Media Release

I hereby grant Grand Canyon Youth, its co-sponsoring organizations, partners, media representatives, employees, volunteers, and trip participants the right to photograph, record, or film my child’s participation in a Grand Canyon Youth program without recompense. This includes the right to use photographs, audio, or film in promotional, documentary, online, print, digital, and media outlets.

Media Release*

Yes

Parent / Legal Guardian Initials*

Certification of Information Provided

To the best of my knowledge and belief, all the information set forth within this application is complete, true, and correct. I understand that all the entities participating in the GCY program will rely on the information contained herein to make a decision as to whether or not this participant may safely complete the activities required to participate in the GCY program. Participants younger than 18 years must have a parent or legal guardian signature. Grand Canyon Youth reserves the right, in its absolute discretion, to terminate this program or anyone’s participation in the program, at any time, for any reason, including but not limited to any participant’s failure to comply with any application requirements or GCY's directives. I have read this application in its entirety and fully understand and agree to the terms and information within.

Parent/Legal Guardian Signature - Certification of Information Provided*

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Are you interested in applying for financial aid?*

Yes

Financial Aid

Grand Canyon Youth and our donors are proud to offer financial aid to youth in need. We do not want the expedition price to be a barrier to your participation. Fill out this form together with your youth, and plan how you can reach your fundraising goals. Funds are limited, and GCY works to distribute financial aid equitably. Please ask for what you need.

Request Process

Fill out this form completely. Your financial aid award is based on your financial information and short answer responses. Be thoughtful, honest, and thorough.
GCY will process your request and email you your financial aid award.
After your trip, please write a thank you letter including a story from your expedition to "GCY Sponsor" and mail it to Grand Canyon Youth. We will pass your letter along to donors, they love to hear about your experience!

Parent & Youth Collaborative Questions

Think about how you and your youth can pay for this expedition. Consider family contributions, GCY financial aid, and fundraising opportunities. Fill in each line with the amount you are able to contribute, even if the answer is $0. All of your responses should add up to the total price of your GCY expedition.

Hidden

HIDDEN- $50 Deposit*

Amount parents/guardians will contribute*

Amount participant will fundraise/earn*

Amount of financial aid you are requesting*

TOTAL*

Parent/Legal Guardian Questions

What is your estimated Household Gross Annual Income?*

How many adults contribute to this income?*

Total number in household*

Has your youth participated in a Grand Canyon Youth Program in the past?*

Yes

If yes, did you receive financial aid?*

Yes

Does your family qualify for free & reduced lunch?*

Yes

Please tell us about any extenuating or compelling circumstances that demonstrate your financial need.*

Youth Questions

Answer the following questions to the best of your ability. *All questions have a 100-word minimum*

What are your most treasured skills or talents? How do you share those with others and how would they help you on this GCY program?*

Why is this expedition important to you? Provide 2-3 reasons.*

I hereby certify that all provided information is accurate and complete. Please consider us for financial assistance. I am requesting only what we need and I understand that funds are limited.

Parent/Legal Guardian Signature*

Participant Signature*

Payment Options

Pay Later

Second Choice

Third Choice

Total

Card Holder Address*

Street Address Address Line 2 City State ZIP Code

Credit Card*

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.

Youth Application

Hidden Fields

**Travel Requirement**

Participant Information

Parent/Legal Guardian 1

Parent/Legal Guardian 2

Alternate Emergency Contact

Participant Health Information

Medical History

Heart Condition

Diabetes / Hypoglycemia

High or Low Blood Pressure

Migraines / Severe Headaches

Seizures / Epilepsy / or other Neurological Disorder

Serious Head Injury

Urological Condition/ Reoccurring UTI

Anemia / Blood Disorder

Musculoskeletal Disorder/Arthritis

Anaphylaxis / Severe Allergic Reaction

Asthma / Respiratory Condition

Gastrointestinal Condition

Food Allergy / Intolerance (Non-Anaphylactic)

Pregnancy

Sleep Disorder / Sleepwalking / Night Terrors

Developmental Disability or Delay

Depression / Anxiety

Attention Deficit/Hyperactivity Disorder

Emotional / Psychiatric Disorder or Concern

Substance Abuse (drugs, tobacco, alcohol)

Eating Disorder

Self-Harm Behaviors

Other Health Information

Medications

Physician Information

Insurance Information

Medical Release

GCY COVID-19 Health Agreement

Reporting to Grand Canyon Youth

Pre-Trip Behavior

Pre-Trip Screening

On-Trip Behavior

Vaccination Records

COVID-19 Medical History

BY SIGNING BELOW I AGREE TO THE ABOVE, OUTLINED EXPECTATIONS.