1. SAMPLE
WAIVER AND RELEASE FROM LIABILITY
[EVENT NAME]
[EVENT DATE]
By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury,
death or damage to personal property associated with [YOUR CLUB NAME HERE] activities and events
organized by [YOUR NAME HERE].
I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable
future legal rights. I have signed this Agreement freely, voluntarily, under no duress. My signature is proof
of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the
full extent of the law. I am 18 year of age or older and mentally competent to enter into this waiver.
Participants Printed Name Signature
If Participant is under 18 years of age:
Participants Printed Name Parent or Guardian Signature
NOTE: The role of the Children & Nature Network (C&NN) is to help build the children and nature movement, and to
help parents and others learn about ways they can connect children to nature. Nature Clubs for Families is an approach
we wish to encourage. However, such groups act independently and C&NN is not responsible for the actions of specific
groups or individual members of such groups. At any time, when children are outside on their own, or with families
and friends, everyone should take safety precautions and be mindful of risks.