ROCKY MOUNTAIN EDUCATIONAL ADVENTURES WHITEWATER

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Julie McCoy
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1 ROCKY MOUNTAIN EDUCATIONAL ADVENTURES WHITEWATER COURSE PREREQUISITES AND REQUIREMENTS Age Requirement All participants must be 19 years or older as of the start of the course. An Ability to Physically Accomplish the Tasks Required The Rocky Mountain Educational courses are very physically demanding. Students will be required to carry personal overnight supplies & equipment along with technical sport specific gear on extended trips over rugged mountain terrain. Students will also have to be prepared to carry their share of communal equipment and do their share of communal tasks. Medical Insurance Students will not be permitted into the program without valid and current medical insurance. Students must sign a general program release and waiver Identifying assumption of risk and inherent danger of mountain activities before attending any outdoor activity. Swimming requirement Students must be an intermediate level swimmer capable of swimming 600m in 14 minutes. (24 laps of a 25m pool) The following personal equipment is required by all Rocky Mountain WhiteWater Adventure students. This equipment will, with care, last for years. Students may wish to delay purchase of equipment until program confirmation. Please note: Mark your gear for easy identification.

2 Whitewater Rafting/Canoeing/Kayaking PFD (Personal Floatation Device - Rafting/Canoeing specific - rescue model if guiding in the future) Wet suit (3mm farmer john) and dry top (at minimum) or Dry Suit 3mm Neoprene: gloves, socks, beanie and booties (good quality with strong sole) Whitewater helmet - can be hockey helmet. The Petzl Meteor III is a multipurpose helmet that can be used for climbing, whitewater and cycling! Down jacket for camping Head lamp, water bottle, camp eating utensils, bowl etc. Outerwear, for camping Sun hat, toque, Sunglasses Personal outdoor clothing (quick dry pants, all weather clothing) (no cotton) Three season sleeping bag Sleeping pad or Thermarest Multi day pack >70 litres Waterproof dry bag for on river lunches and spare clothing Note: This list refers only to technical equipment. Personal clothing and other daily necessities are not included. These are typically items that can be assembled from a student's home. Students are urged to consider the most cost effective equipment purchases. Look for sale items, phone several shops and talk to experienced sales people. Training and Preparation You are young and you are active, but have you hiked in big mountainous terrain with lbs. on your back for five days before? If not then you need to figure out a training regimen for the summer. Run laps on a local hill, work the stair master, and strengthen your core. Most important is cardio, core strength and legs. This is a very physical course.be ready and stay ready during the course. Do not overestimate your abilities. Where to begin? There will be very little time to get major ticket items once you are here. Check your equipment list very carefully. You do not need to buy top of the line equipment. Search for sales. I never pay full price for outdoor gear it s too expensive. Look on the internet to get an idea of available prices. Check web sites like Backcountry.com. The following is a partial list of equipment sources: The Ski Base, Fernie BC, The Guides Hut, Fernie, BC, The Gear Hub, Fernie, BC Monod's Ski and Equipment, Banff AB, Mountain Equipment Co-op (MEC) store chain (Calgary, , Toronto, , Vancouver, ) Gravity Gear (Mail Order Catalogue), Jasper AB,

ROCKY MOUNTAIN EDUCATIONAL ADVENTURES WHITEWATER ADVENTURES QUESTIONNAIRE Please return this page with your application. Use a separate sheet if needed.

3 ROCKY MOUNTAIN EDUCATIONAL ADVENTURES WHITEWATER ADVENTURES QUESTIONNAIRE Please return this page with your application. Use a separate sheet if needed. Name: Date: List any mountain activities that interest you. Rate you proficiency: Rafting Swimming Canoeing Kayaking Never Novice Intermediate Advanced Are you an intermediate level swimmer capable of swimming 600m in 14 minutes? (24 laps of a 25m pool) List any outdoor certifications you presently hold or have held in the past. Signature:

4 TO: College of the Rockies, Fernie Campus, Box 1770, Fernie, BC, VOB 1MO Phone: Fax: ROCKY MOUNTAIN EDUCATIONAL WHITEWATER ADVENTURES MEDICAL HISTORY Name: Birthdate: Address: Phone: IN CASE OF EMERGENCY CONTACT Name: Phone: Relation: Address: Doctor: Phone: Medical Insurance Plan: Personal Health #: ID. & DEP#: Allergies: Date of last tetanus inoculation or booster [for multi-day trips, current (within last 10 years) tetanus boosters are mandatory] Are you on any medications (prescription or non-prescription): YES NO If yes, please specify Have you been under a doctor s care in the last 12 months? If yes, give details Chronic Disability or illness (ie. heart condition, diabetes, etc.) History of Joint Injury (please describe andspecify Eyesight: Ex. Fair Poor Glasses Contact Lenses (It is recommended that if you are dependent upon glasses or contacts for adequate vision bring a spare set of glasses with you) Do you have any physical limitations: Do you have any psychological limitations (ie. Fear ofwater) If any of the above information changes during the program. I will inform the coordinator of the program. Signature: Date: (parent/guardian if under 19 years of age) *Please note: failure to disclose any medical conditions or problems may jeopardize the safety of the entire group.

5 COLLEGE OF THE ROCKIES RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS & INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE PLEASE READ CAREFULLY! INITIAL ALL BOXES TO INDICATE YOU HAVE READ, UNDERSTOOD AND ACCEPT THIS AGREEMENT The Rocky Mountain Educational Adventures Whitewater Program, hereinafter referred to as the Program is a program of the COLLEGE OF THE ROCKIES, Fernie Campus. In this Agreement COLLEGE OF THE ROCKIES including its servants, agents, contractors, instructors, trustees, directors, officers, administrators, assigns and employees are hereinafter referred to as COTR. You, the participant will hereinafter be referred to as I. Participant s name: Last First Initial Participant s address: Street City Prov. Postal Code Date of birth Age Program Dates STATEMENT OF PHYSICAL AND MENTAL FITNESS: I am in sound physical and mental health and am able to fully participate in the Program and make informed, objective decisions. I understand the above statement and I am able to fully participate - (initial box): PERSONAL ACCIDENT AND GENERAL LIABILTY INSURANCE: I am covered by appropriate personal accident and general liability insurance coverage, or can and will personally pay for all costs and liabilities that I may incur by virtue of participation in the Program. I agree to purchase appropriate out-of-country travel insurance when such travel is required. I have purchased Personal Accident and General Liability Insurance. (initial box): UNDERSTANDING AND ACKNOWLEDGMENT OF RISKS: I understand and acknowledge that participating in this program will involve serious risks to myself and other participant(s), both anticipated and unanticipated, that could result in injury, disease, illness, and death to myself, other participant(s) and others, and damage to or loss of property. The Program involves high risk activities and is designed for healthy and fit adults who are interested in extreme wilderness adventure. The Program is not designed for students who are interested in purely recreational activities. I have read the application published by COTR and understand the parameters of the Program. Risks to myself may include but are not limited to: cuts, bruises, sprains, strains, burns, partial/complete drowning, fractures, hypothermia, trauma, shock, disease, illness, heat and cold injuries including heat prostration, frostbite, severed limbs, paraplegia, quadriplegia, brain injury, physical and mental injury, and death, which may arise from accidents or incidents caused by: 1) travelling in Program vehicles, personal vehicles, public transport, on highways and logging roads in adverse conditions 2) travelling in helicopters 3) accidents while swimming, kayaking, performing rescue practice, canoeing and rafting in pools, lakes and whitewater rivers, including extreme conditions; 4) wilderness travel, wildlife encounters/attacks, falls, camping, biking, hiking, snow boarding and ski touring in varied terrain including steep high alpine, forested, glacier, flood plains, avalanche paths, canyons, river crossings; 5) added hazards of travelling in avalanche terrain while utilizing a splitboard or telemark set up that does not provide a releasable binding system 6) from falling objects such as rocks, snow (including avalanche), ice and trees; 7) exposure to extreme wind, rain, snow, and temperature conditions while travelling and camping in remote mountainous areas 8) falls, collisions and other problems resulting from using and operating technical or faulty equipment including rope systems supplied by COTR or other parties, on mountains, frozen waterfalls, caves, canyons and crevasses; 9) rescues and failed rescues, delayed or inappropriate medical treatment; 10) acts, errors, or omissions of COTR, including negligence of COTR; 11) acts, errors, or omissions, including negligence of other participants; 12) the Participant s own acts, errors, or omissions including negligence. I understand and acknowledge the risks noted above - (initial box): ACCEPTANCE AND ASSUMPTION OF RISK: I am aware of the risks, dangers and hazards of participation in the Program and fully accept all risks including those specifically listed in this Agreement as well as those not specifically described herein, whether anticipated or unanticipated. I accept and assume all risks both listed and not specifically described - (initial box) :

6 ACCEPTANCE OF PERSONAL RESPONSIBILITY: During the Program, I will have the obligation to work closely with other participants and we will be required to share responsibility for each other s safety. I understand and agree that all participants will have this obligation and I am prepared to accept this obligation. If, during the Program I do not fully understand or do not have complete confidence in my abilities, in the use of any equipment, the application of any technique, or in the completion of any procedure, activity or task that I am about to engage in, it is solely my responsibility to ask the instructor any questions and require that the instructor further explain, clarify or demonstrate the use of the equipment, the application of the technique or the completion of any procedure. I agree it is my sole responsibility to refuse to proceed with any activity, procedure or task that I am uncomfortable with or feel unsafe doing. I will notify COTR should I become physically or mentally unable to safely participate in the Program. I will notify COTR should I decide to use a vehicle, accommodation and/or equipment not provided/arranged by COTR. I agree that COTR has the right to deny my access to any procedure, activity, training, task, travel or part of the Program, should COTR determine that I am physically or mentally unable to safely participate in such part of the Program or should any vehicle, accommodation or equipment arranged by myself not comply with COTR Program requirements. I understand and accept the personal responsibilities listed above - (initial box): RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY: In consideration of COTR accepting my application to the Program I hereby agree as follows: a. To waive, release, and forever discharge COTR from any and all manner of action, causes of action, suits, demands, debts, contracts, claims, damages, interest, costs, and expenses, that I have, or may in the future have against COTR as a result of any loss, injury, disease, illness, death, and damage that the Participant may suffer, by reason of or arising out of or, in any way connected with or resulting from participation in the Program, due to ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, by COTR. b. To indemnify COTR and hold COTR harmless from all costs and expenses, including legal fees, incurred by COTR or on COTR s behalf, in defending or in connection with any claim, action or proceeding which may be brought against COTR for any reason resulting from the Participant s participation in the Program. c. To agree, promise, and covenant not to sue, or assert any claim against the COTR for any reason whatsoever arising from or in any way connected with the Participant s participation in the Program or from any claim brought against me by other participants or third parties. d. That this Agreement shall be effective and binding upon my heirs, executors, administrators, assigns and representatives. e. That this Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of British Columbia; and f. Any litigation involving parties to this Agreement shall be brought solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the courts of the Province of British Columbia. I understand and hereby release liability, waive all claims and indemnify the College listed above - (initialbox): ACKNOWLEDGMENT AND ACCEPTANCE OF THE EFFECT OF THIS AGREEMENT: I have read and understood this Agreement and agree that by signing this document I have given up certain legal rights which I or my heirs, executors, administrators, assigns and representatives may have against the COTR. In entering into this Agreement I am not relying upon any oral or written representations or statements made by the Agreement with respect to the safety or value of the Program. I understand that I have the right to seek legal advice before executing this Agreement. Signed this day of, 20 PARTICIPANT: Name (print): Signature: PARENT(S) Names and Signatures of parents are MANDATORY IF the participant is under Age 19: NAME(s) of both parents (print): SIGNATURE(s) of both parents: WITNESS NAME (print) Signature: Witness Printed address & phone no.:

8 Occupational First Aid Statement of Fitness (continued) Page 2 of 2 Do you have any hearing impairment that would prevent you from hearing a summons for first aid, hearing and assessing a patient s breathing, distinguishing if there is distressed breathing, and/or verbally communicating with a patient? Yes No Do you have any physical condition that would limit you from carrying 22.5 kg (50 lbs), traversing rough terrain such as steep banks, steep excavations, or high elevations to render first aid? Yes No I have answered all the above questions honestly and truthfully. This is a true reflection of any physical and mental condition that would have a bearing upon my ability to participate in a first aid training course and/or function as a first aid attendant. Yes No Name (please print) Signature Date Date(yyyy-mm-dd)

Club Membership Application or Renewal

Club Membership Application or Renewal Page 1: CLUB INFORMATION Club Name Date Club Mailing Address: Postal Code Website Primary Contact Person Contact Person Phone Email Executive Names Phone Street Address, City, Postal Code e-mail address