LEADER ________________________________________________ TRIP NUMBER _____________

TRIP NAME _____________________________________________ DATE_____________________

TRIP DESCRIPTION AND COMMENTS: _______________________________________________
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By signing below, I acknowledge that all activities sponsored or conducted by The New Mexico Mountain Club (NMMC) may be hazardous, and may result in loss, damage, or death.

With full knowledge of these dangers, I hereby agree for myself, all of my family and heirs, to RELEASE the NMMC and any of its leaders, groups, representatives or agents from liability, claims, demands or any causes of action, and NOT TO SUE OR OTHERWISE MAKE ANY CLAIM against the NMMC or any of its leaders, groups, representatives or agents whatsoever which may arise during my participation in any activities of the NMMC.

I intend this RELEASE OF LIABILITY to be effective whether or not any loss, damage, injury or death RESULTS FROM NEGLIGENCE of the NMMC or any of its agents, leaders, instructors, guides, officers, directors, or representatives. I understand that negligence means a failure to do an act which a reasonable careful person would do, or the doing of an act which a reasonable careful person would not do, under the same or similar circumstances, to protect himself, herself or others from injury or death.

I agree to be solely responsible for my own safety and to take every precaution to provide for my own safety and well-being while participating in activities of the NMMC.

Name, Member?, Address, Telephone #

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