In making this reservation I affirm that I am in generally good health. I will inform the trip leader and guide of any allergies, heart problems, epilepsy or other atypical medical conditions that I have, including prescription drugs, which I carry. I am aware that certain risk and dangers may occur during wilderness trips, including but not limited to the hazards associated with travel in mountainous terrain, lakes, streams, accidents or illness in remote places without medical facilities; and the forces of nature.

I will obey and follow the information, instruction and rules offered by the trip leader and guide.

In consideration of the right to participate in this trip, I do hereby assume all of the above risks, and will hold the owners operators, employees and agent of Highline Trail Llamas harmless from any and all liability, actions, debts, claims and demands of every kind and nature whatsoever. The terms hereof shall serve as a release and assumption of risk for my heirs, executors, and administrators for all members of my family including any minors accompanying me.

Each person in the party must sign. Parent or responsible guardian must sign for persons under 18 years of age.

Print Name: __________________________

Signature: ___________________________

Signature of Parent or Guardian: ______________________

Date: ___________________________