Medical Release Form

Medical Release Form - 2020

You must READ, COMPLETE, and SIGN this form in order to participate.

Your Responsibilities:

Medical Considerations: If you have any medical or psychological conditions, it is very important you let us know well before departure so that we can make extra arrangements if necessary. Trip leaders have the right to disqualify anyone at any time during the trip if they feel the trip member is mentally or physically incapable to continue and/or if a trip member's continued participation jeopardizes the groups or his/her own safety. Under these circumstances refunds are not given. Voice of Wilderness/Joshua 1 Ministries is not a medical facility and therefore has no responsibility regarding medical advice, medications, or inoculations that you or your doctor deem necessary for your safe participation; to include personal prescription medications (ex., Epipen). Hospital facilities for serious problems are often unavailable, and evacuation can be prolonged, difficult and expensive. Voice of Wilderness and Joshua 1 Ministries assumes no liability regarding provision of medical care. By signing the Medical Form, you agree to pay for emergency evacuation and emergency medical care. Voice of Wilderness/Joshua 1 Ministries reserves the right to decline to accept or retain any person as a participant should such person's behavior, health or mental condition impede the operation of the trip.

It is highly recommended that you consult with your personal physician prior to participation. Many trips are conducted in outdoor, remote locations at altitudes of 8000-14,000ft with the possibility of weather extremes. Strenuous, continuous physical activity, over varied terrain, including carrying a 50-75lb backpack may be required.

Important Notes:

1. If you will be carrying prescription medication you are advised to consult with your physician regarding secondary dosage in the event of possible loss or water contamination
2. If you have ever had a systemic reaction to an insect sting, we recommend you consult your physician about carrying a personal Ana-kit or Epi-Pen.

COVID-19 Liability Waiver:
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Voice of Wilderness has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Voice of Wilderness cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other participants and their families.

I voluntarily seek services provided by Voice of Wilderness and acknowledge that I may be increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while participating in my trip.

I attest that:
• I am not experiencing any symptom of illness such as cough, shortness of breath or
difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache,
sore throat, or new loss of taste or smell.
• I have not traveled internationally within the last 14 days.
• I have not traveled to a highly impacted area within the United States of America in the
last 14 days.
• I do not believe I have been exposed to someone with a suspected and/or confirmed
case of the Coronavirus/COVID-19.
• I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-
contagious by state or local public health authorities.
• I am following all CDC recommended guidelines as much as possible and limiting my
exposure to the Coronavirus/COVID-19.

I hereby release and agree to hold Voice of Wilderness and Joshua 1 Ministries harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the organization, or that may otherwise arise in any way in connection with any services received from Voice of Wilderness. I understand that this release discharges Voice of Wilderness from any liability or claim that I, my heirs, or any personal representatives may have against the organization with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Voice of Wilderness. This liability waiver and release extends to the organization together with all owners, staff, and participants.

Swimming Assessment:
Many Voice of Wilderness/Joshua 1 Ministries trips involve activities in a water environment, which require basic swimming skills. We ask that participants assess their own comfort level in and around the water. We recommend that you do not register for a course involving water activities if you are a non-swimmer.

DRUG, ALCOHOL, and TOBACCO POLICY:
Voice of Wilderness/Joshua 1 Ministries has a Zero Drug and Alcohol policy, to include misuse of prescription medications. Additionally, any medication that may cause impairment may disqualify a participant from an activity. Voice of Wilderness/Joshua 1 Ministries also does not allow tobacco products/use during its programs or on premises.