MEDIA RELEASE FORM

#### Approval by self/ parent/guardian

The below listed parent/guardian hereby grants express permission to any agent of the Maine Primitive Skills School to take, manufacture, print, display and transmit by any means all photographic and video images created while at the Maine Primitive Skills School. All still images and video become the property of Maine Primitive Skills School.

Waiver of Claims: of Claims: In consideration of the benefits to be derived from participation in this Maine Primitive Skills School activity, any and all claims against Maine Primitive Skills School, the staff/members, and the participating organization, or against the officers, employees, agents, or other representatives of any of them, or any other persons working under their direction or engaged in the conduct of their affairs, arising out of any accident, illness, injury, damage, or other loss or harm to/or incurred or suffered by the applicant named below or to his or her property, in connection with or incidental to the Maine Primitive Skills School media documentation through photography and videography, are hereby expressly waived by the applicant and the applicant’s family or guardians.

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PARENTS/GUARDIANS. Please read all of the above statements before giving your approval. I hereby approve and agree to all of the terms, conditions and waiver of claims:

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######## ASSUMPTION OF RISK AGREEMENT FOR STUDENTS AND FAMILIES.

######### *****PLEASE READ BOTH SECTIONS CAREFULLY BEFORE SIGNING*****

###### Program(s) Attending:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date(s):\_\_\_\_\_\_\_\_\_\_\_\_

###### Dear Maine Primitive Skills School Parent(s), Guardian(s) or participant age 18(+),

During the programs with Maine Primitive Skills School your child (or you if you are 18 or older) will be living outside, walking barefoot, working with sharp tools and fire, climbing tall rocks and trees, jumping into streams, swimming in swamps, marshes, lakes, and rivers, carrying heavy loads over uneven ground, living in the elements and with the possibility of getting cold, wet, hot, sun burned, poison ivy. We may also be driving in vehicles on roads, by far the most dangerous of all of our activities. While we can often predict the coming storm, we cannot always predict other drivers around us. There are objective risks of getting hurt in all of what we do. It is our job as teachers and guides to be well prepared to do all we can to protect and take care of all our participants. We are people too, and we may make mistakes. Besides human mistakes there are natural events such as floods, storms, etc, and some times those events are more powerful than we are. By signing this agreement, you acknowledge that in exchange for the privilege of your child’s (or you if you are 18 or older) participation in Maine Primitive Skills School programs, you accept all of the known and unknown risks involved. If you are 18 or older you also acknowledge that as an individual you are responsible for your own safety and you agree to use common sense and exercise thought before actions. If your child is 13 or older you are confirming here that you have gone over carefully with your child the