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Custom Adventure Form

    Adventurer Information




    Birth Date

    What's the skill level of you or your group?What's a tent? I've never seen the sun before...I like to adventure outdoors occasionallyI'm comfortable walking, cycling, several miles per day, pitching tents, and eating dehydrated foodsEverest? Been there twice!

    Gender
    FemaleMale

    How many people will be in your party?

    How many people under 18 are in your group?

    Address

    Adventure Questions

    Adventure Start Date

    Adventure End Date

    Enter desired adventure destination here (i.e. specific city in Colorado or an explanation of an area you'd like to adventure in such as forest, plains, city)

    What Activities do you want to participate in during your adventure?
    Cycling - off road Cycling - off road (Mountain biking, gravel biking, fat biking)Cycling - On road (paths and roads)HikingCampingGuided Jeep tripFlat water paddling (SUP or Kayak)SnowshoeingWildlife or scenic photographyWildlife viewingBrewery tour

    What level of luxury are you expecting?
    I'm going as cheap as I can! (think bivy)I have enough money to be comfortable (Tent or Hammock)I like RV'sI'll need at least a Motel 84 star lodging is my jam!

    Are you ok with sharing accommodations with others in your group or will each person be lodging separately?

    What's your dining preference?
    Peanut butter, granola barsSandwiches, soupsDehydrated mealsCooked to my liking

    What's your beverage preference?
    Stream waterFiltered/boiled water, flavored drinks not requiring refrigeration or heatingWarm and cold beveragesAdult beverages

    Gear

    What gear do you need to rent?

    Emergency Contact





    Relationship

    Medical Information

    Do any of the adventurers have any allergies, chronic illness, or medical conditions? If yes, please describe.

    Are any of the adventurers prescribed an inhaler? If yes, please explain any instructions.

    Informed Consent and Acknowledgement

    I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless CO Outdoor Adventures, LLC. and all its respective officers, agents, and representatives from any and all liability for injuries arising out of traveling to, participating in, or returning from selected adventures.

    I hereby waive all claims against CO Outdoor Adventures, LLC. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports/adventure activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

    Medical Release and Authorization

    I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, in the event of a medical emergency, which in the opinion of the attending professional, requires immediate attention to prevent further endangerment of my life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
    Permission is hereby granted to any physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named adventurers(s). In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact my emergency contact in the most expeditious way possible.
    Permission is also granted to CO Outdoor Adventures, LLC. and its affiliates including Directors, Coaches, and Adventure Guides to provide the needed emergency treatment prior to the admission to the medical facility.
    Release authorized on the dates and/or duration of the registered season.
    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb.

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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