The undersigned acknowledge that the so-named "OUACHITA MOUNTAIN HIKERS" is merely an unincorporated gathering of individuals whose primary purpose is to engage in hiking and other activities organized by the club.

Nominal dues are collected for the purpose of financing mailings to the membership and sponsoring programs of interest. No dues money is used for the transportation, care, medical or otherwise, consultation, medical or otherwise, for any participant. 
As such, no standard of care of any kind whatsoever is promised by the Club or any individuals participating in the Club's activities whether as participants alone or as participant "leader," "planner," "coordinator," or any other designation associated with the Club's activities.

Understanding the above, and without further consideration than the opportunity to be a member-participant or participant alone, I voluntarily, knowingly, and intelligently release the Club, their officers and agents, if any, from any and all claims for damages including, but not limited to, all actions, causes of actions, claims and demands for compensation for injury of loss, known or unknown, which may be traced either directly or indirectly to me and minor persons " under my charge, as well as a similar release of the Club for any injuries or loss to me or minors ; in my charge, however caused.

I understand the nature and extent of this Release and Assumption of Risk and state that I am AT LEAST 18 YEARS OLD and LEGALLY COMPETENT to execute this release, on behalf of myself and any minors in my charge.

PRINTED NAME: _______________________________

SIGNATURE:  _________________________________    DATE:__________________

Minors in charge of executor: ________________________________________________

Address: ________________________________________________________________

Telephone: ______________________________________________________________

WITNESS:___________________________________