Searles Lake Gem & Mineral Society
GEM-O-RAMA
INFORMED CONSENT/ASSUMPTION OF RISK/WAIVER OF LIABILITY

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    Trip Hosts: Searles Lake Gem & Mineral Society, and Searles Valley Minerals, Inc.

    Trip Dates:  October 9 and 10, 2010

    Trip Location:   Searles Dry Lake

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Please read the following information before beginning the field trip. 
Sign and date the accompanying sign-in sheet to acknowledge that you have
read and understand the information presented below.

 

    I understand that the field trip that I am participating in, of the above named Society, may include one or more of the
    following hazard(s) that may result in personal harm:

           Unpredictable and Dangerous Environmental Conditions/Hazards, including but not limited to, rain, wind,
           wind-blown dust, very cold and very hot temperatures, lightning, loose rock, blowing rock, mud, other slippery
           conditions and contact with poisonous reptiles, and saline minerals and hyper-saline brine.

I understand the risks inherent in all outdoor activities existing in the environment, either natural or man-made.

I understand that I am required to use appropriate safety equipment pertinent to the field trip activity
in which I will be participating.  I accept full responsibility for my actions and accept liability for any resulting
damages or injuries.

     By participating, I am assuming the risks inherent in this field trip and I am releasing the above named societies,
     their officers, directors and individual members, from any liability for claims or lawsuits by the undersigned
     participant, arising out of this field trip activity.  By signing this waiver of liability I understand that I release all
     property owners (private land owners and mining claimants) and lessees of any liability or responsibility
     for any accidents, injuries, problems or any other unfortunate incidents that may occur during this activity on
     their property.  I have read all of the aforementioned information and understand any and all of it.  Any
     questions, which have occurred to me, have been answered to my satisfaction.  I am participating in these
     activities of my own free choice.

     If I am unable to clearly communicate in any way, or a minor child for whom I am giving consent is involved,
     I authorize the trip leader to consent on my part to any medical emergency procedure deemed necessary by a
     treating physician.

SLG&MS

  Go to GEM-O-RAMA Site Map

Searles Lake Gem and Mineral Society
P. O. Box 966
Trona, CA   93592-0966
Phone (760) 372-5356

Home  Site Map  |  Revised 11/5/2009

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Reproduction or other uses of any of these contents without the written permission of the owner is prohibited.
If you want to use any of the contents, contact the SLG&MS at any of the above.