2017 RECREATIONAL TREE CLIMBERS RENDEZVOUS Cal-Wood, Jamestown, CO September 1-4, 2017 Fill-in ALL Blanks Please PRINT Clearly or Type Complete a

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1 2017 RECREATIONAL TREE CLIMBERS RENDEZVOUS Cal-Wood, Jamestown, CO September 1-4, 2017 Fill-in ALL Blanks Please PRINT Clearly or Type Complete a Separate Form for Each Registrant Send All via or regular mail (with check if not using PayPal/credit card) to: Tree Climbing Colorado Rendezvous Stiles Dr. Evergreen, CO Name (first and last) Date Street Address City State/Provence Zip/Postal Code Country Phone Additional Phone Emergency Contact: Name Phone Relationship Climbing and practitioner level (check all that apply): Untrained/new climber (welcome, but must climb with recognized facilitator/ instructor) Trained climber Years climbing Recognized Facilitator (Check if you are willing to be available as rescue ready ) Recognized Instructor (Check if you are willing to be available as rescue ready ) Lodging preference: Dormitory Cabins (linens included, separate cabin areas for 365 (Cabin space is limited. Recommend register early to ensure cabin reservation.) Camping/tree-boating/RV, etc./off-site 290 Registration includes all meals, Friday dinner through Monday breakfast (a Monday lunch of leftovers may be available). Cal-wood will be accessible to us ONLY after 10am Friday through 4pm Monday. Please do not arrive outside these times. Thank you. Amount due this registration $ Make checks Payable to: Tree Climbing Colorado and put Rendezvous 2017 in memo area. Sign in 3 places, mail or to addresses above.

2 Or mail completed registration form (indicate you are paying online) and pay online with PayPal/credit card PLEASE SHARE YOUR RTC EXPERTISE, EXPERIENCE, OR TALENT BY OFFERING A WORKSHOP. What workshop(s) would you be interested in presenting, either for free or with a voluntary donation? Please describe: WHEN WILL YOU BE ARRIVING (A) AND DEPARTING (D): Fri am pm Sat am pm Sun am pm Mon am Mon pm Other Pre Vous (see separate Pre Vous info webpage) Please note: Pre Vous is not an official Rendezvous 2017 event, but is independently offered as a courtesy to visitors: Tues am pm Wed am pm Thurs am pm (Questions about Pre Vous? Contact Hank Blaustein: hrblaustein@gmail.com) Will you be driving in, or renting a car at DIA? Yes No If Yes would you be willing to carpool other attendees from either DIA or Boulder? Yes No (Questions about carpooling/transportation? Contact Dan or Erin House: treeclimbingkansascityllc@yahoo.com, erin.e.house@gmail.com Dietary preferences and/or Allergy Concerns (Use additional pages if needed.) Describe any medical conditions, care needs, and/or medications we need to know, or would reasonably expect to be made aware of. (Use additional pages if needed.) T-shirt size: S M L XL XXL

3 2017 RENDEZVOUS SITE/CLIMBING RULES As guests of Cal-wood, and to respect the land, trees, and other users/uses of this site, the following rules and regs are to be followed as a condition of your registration (in addition to any posted on-site). Thank you! Many areas of Cal-wood are rugged, rocky and remote, with no cellphone service and limited accessibility. So, Report your campsite or general camping/tree boating location, and any changes in camping location (if not staying in the cabins) and daily climbing excursion destination(s) to designated person, or on-site provided form. Climbing excursions must include at least 2 climbers. Walkie-talkies are available and will be used where needed. Follow basic/generally-accepted RTC standards and protocols, including: The use of cambium-protecting devices on all dynamic settings Only live tissue for TIP s/anchors, with at least 6 inches live support First Aid kit with every climbing party Only RTC/arboriculture-certified or recognized equipment, including buckled, approved climbing helmets, on all climbs. Drinking water/emergency food with every climbing party No climbing when dangerous weather (i.e. lightning), site, or tree conditions are present No free climbing Pack out all garbage Use the outhouses found at the three campgrounds, or main lodge. Otherwise, solid waste should be buried no less than 1 foot underground, no less than 200 feet from nearest water, dry ravine or other potential run-off feature, increasing distance with increasing slope. Pruning/dead-wooding Mountain pine beetle generally fly in late August, and are attracted to fresh sap, so intentional pruning or dead-wooding prohibited. No drunkenness, use of cannabis products or illegal medicinals on premises. SIGNATURE BELOW CONFIRMS REGISTRATION AND INDICATES ACCEPTANCE OF ALL TERMS AND CONDITIONS SIGNATURE: (NOT DONE YET: You must also sign the attached Waiver form.)

4 SPORT PARTICIPANT RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. Please read and be certain you understand the implications of signing. Express Assumption of Risk Associated with Sport, Venue Use, and Related Activities. I, do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Tree Climbing Colorado, L.L.C., transportation of equipment related to the activities, and traveling to and from activity sites in which I am about to engage. (Photo release: Any and all photos taken of releasees or released participants at this event, climb, class, etc., can be used freely by Tree Climbing Colorado, LLC, for promotional or other purposes). Inherent hazards and risks include but are not limited to: 1 Risk of injury from the activity and equipment utilized is significant including the potential for broken bones, severe injuries to the head, neck, and back or other bodily injuries that my result in permanent disability and death. Possible equipment failure and/or malfunction or misuse of my own or others equipment. I AGREE THAT I WILL WEAR APPROVED PROTECTIVE GEAR AS DECREED BY THE GOVERNING BODY OF THE SPORT I AM PARTICIPATING IN. However, protective gear cannot guarantee the participant s safety. I further agree that no helmet can protect the wearer against all potential head injuries or prevent injury to the wearer s face, neck or spinal cord. Variation and/or steepness of terrain, variation or changes in surfaces including but not limited to snow surfaces, ice, bare spots, rocks, stumps, debris, cliffs, trees, fences, posts, trees, light poles, signs, buildings, roads, walkways, ramps, rails, stairs, pyramids, manual pads, bowls, half-pipes, jumps, padded and non-padded barriers, other persons, and other natural and manmade hazards. My own negligence and/or the negligence of others, including but not limited to operator error and guide decision making including misjudging terrain, weather, riding surfaces or other obstacles. Exposure to the elements and temperature extremes may result if frost nip, frost bite, heat exhaustion, heat stroke, sunburn, hypothermia and dehydration. Dangers associated with exposure to natural elements include but are not limited to avalanche, rock fall, inclement weather, thunder and lighting, severe and or varied wind, temperature and other weather conditions. Accidents or illness occurring in remote places where there are no available medical facilities. Fatigue, exhaustion, chill, and/or dizziness, which may diminish my/our reaction time and increase the risk of accident. Impact or collision with other athletes, spectators, facility employees, pedestrians, motor vehicles, and cyclists. *I understand the description of these risks is not complete and unknown or unanticipated risks may result in injury, illness, or death. Release of Liability, Waiver of Claims and Indemnity Agreement In consideration for being permitted to participate in the above described activity(ies) and related activities, I hereby agree, acknowledge, and appreciate that: 1. I HEREBY RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, the following named persons or entities, herein referred to as releasees. Tree Climbing Colorado, L.L.C..Owner (Company and/or Person) 1 To release the releasees, their officers, directors, employees, representatives, agents, and volunteers from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by active or passive negligence of the releasees or otherwise. By executing this document, I agree to hold the releasees harmless and indemnify them in conjunction

5 with any injury, disability, death, or loss or damage to person or property that may occur because of my engaging in the above activities. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this Agreement. This agreement shall apply to all injury, disability, death, or loss or damage to person or property occurring at any time after the execution of this agreement. This release shall be binding fully permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforceable. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. P/ Name of Adult Participant (Please Print) Date S/ Signature of Adult Participant Date FOR PARTICIPANTS OF MINORITY AGE: This is to certify that I, as Parent, Guardian, Temporary Guardian with legal responsibility for this participant, do consent and agree not only to his/her release of all Releasees, but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin. S/ Signature of parent or adult legal guardian. If participant is a minor, and by their signature, they on my behalf release all claims both they and I have. P/ Name of Parent or Adult Legal Guardian (please print) Date P/ Name of Minor (Please Print) Date

: Celebrating 22 Years of Fun and Community Service! MONTEREY SKI AND SOCIAL CLUB Membership Application for October September 2017

1995-2017: Celebrating 22 Years of Fun and Community Service! MONTEREY SKI AND SOCIAL CLUB Membership Application for October 2016- September 2017 Dues: October 1, 2016 --- September 30, 2017: $60 ($55