High School Lead registration

Welcome to the High School Lead online registration for the Stone Canyon Outdoor EdVentures. It will take approximately 10 minutes to complete this registration. If you leave the system before completing the registration, your information will not be saved and you will have to start over. Please read through the three (3) statements below before proceeding to the registration form.  If you have any questions, please contact Alicia Gerber.

Because this activity will take place away from your child's school, there are some special considerations and procedures which apply. These are outlined below: Your child's participation in this special activity is voluntary. Your written consent at the bottom of this form is necessary for your child to participate. Participation in activities away from school may potentially involve risks and responsibilities for you and your child that are beyond the scope of those normally associated with traditional school functions under our supervision. These may include, for example, personal injury or damage to personal property. We encourage you to inquire in advance concerning the nature and details of each field trip and of any potential risks which will be assumed through participation. By signing below, you acknowledge that you have made yourself aware of any potential risk associated with the field trip and that you voluntarily and knowingly assume all such risk. The School District's responsibility for injuries to students, or damage to their property in connection with these activities, is defined by Colorado law. Generally, the District has immunity from most claims, such as those resulting from the general supervision of students. The School District does not have any medical/dental/hospitalization insurance covering students for the injuries incurred at school or while on field trips. If you have not already done so, you should investigate and must obtain medical insurance coverage for your child. If your child fails to abide by District rules of conduct and teacher instructions during the trip, it may become necessary to discontinue his/her participation in the activity. In that case, you may be responsible for picking up your child immediately.

It is the practice of Stone Canyon Outdoor EdVentures to allow Stone Canyon and media outlets to use photos and videos unless you opt out below. If a photo or video of you is used, there will be no compensation. You could be interviewed, videoed, or photographed by media outlets. Your photo may be used for marketing purposes on our website, social media, brochures, flyers, etc.

I understand and certify that my or my child's participation in Stone Canyon Outdoor EdVentures' programs and its activities is completely voluntary, and I have familiarized myself with the programs and activities in which I, or my child, will be participating. I recognize that certain hazards and dangers are inherent in the Stone Canyon Outdoor EdVentures programs and activities, including but not limited to boating, mountain biking, ropes and challenge courses, off-campus events, hiking, and zip line. I acknowledge that although Stone Canyon Outdoor EdVentures has taken safety measures to minimize the risk of injury to program participants, Stone Canyon Outdoor EdVentures cannot insure nor guarantee that the participants, equipment, premises, and/or activities will be free of hazards, accidents, and/or injuries. I further recognize or have instructed my child in the importance of knowing and abiding by the behavior expectations, regulations, and procedures for the safety of all participants. In consideration of Stone Canyon Outdoor EdVentures accepting and permitting me or my child to attend the program and participate in the activities, I agree that Douglas County School District, Stone Canyon Outdoor EdVentures and their directors, officers, employees, agents, trustees, and volunteers will not be liable for any injury, death, damage and/or loss to my child, and/or anyone claiming on my or my child’s behalf, and I further agree to hold harmless, indemnify and defend the Douglas County School District, Stone Canyon Outdoor EdVentures and their directors, officers, employees, agents, trustees, and volunteers for and from any and all liability, claims, causes of actions, losses, injuries, expenses, fees, judgements, and/ or damages arising out of any injury, illness, or death to me or my child or property damage during the time of my or my child’s attendance at Stone Canyon Outdoor EdVentures, whether such injury, illness or damage occurs on or off Stone Canyon Outdoor EdVentures premises. Every individual participating in Stone Canyon Outdoor EdVentures programs and its activities must carry health/accident insurance coverage. Douglas County School District does not offer any medical/accident insurance to participating students, and makes no claim to do so.

 

PARTICIPANT INFORMATION

Student Name *
Student Name
By checking this box, I agree to Overnight Field Trip Permission Statement. *
By checking this box, I agree to the Release and Indemnity Agreement. *
Media Release - Choose an option below: *
Please list any physical and/or medical concerns we should be aware of or that may limit participation, including operations, serious injuries, chronic illnesses, and/or allergies
CHECK THE APPROPRIATE BOX FOR MEDICAL EMERGENCY CONSENT. *
Date *
Date