Individual Registration

Join us on the river!

Ready for Adventure? Great -- So are we.

Thanks for your interest in Wild River Academy!

Participant Registration
Sign up is easy: fill out the form below and agree to the liability and health waiver. Pay for your WRA trip using the Paypal link on the page after your form submission. Note: See the scholarships page to apply for financial assistance. Once you hear back from us regarding your scholarship (within 2-weeks of applying), you will receive an email confirming the new cost of your trip.
Name *
Name
Phone *
Phone
Emergency Contact Number *
Emergency Contact Number
Preferrably cell
Home Address
Home Address
Address/City/State/Zip
Were you granted a scholarship? *
See scholarships page for more information.
View scholarship email for exact financial aid.
No experience necessary
No experience necessary. Note: We will spend one afternoon fishing. Everyone will be able to participate. However, if you are interested in keeping what you catch and eating it for dinner (totally optional) a license is required for anyone 16 and older. Visit our Fishing Licenses page under the Expeditions tab if you are interested.
Please list and describe all allergies (if none, list "none")
Health Conditions *
Check below if participant currently has or has had any of the following:
If other please describe
Please send with directions for administration during trip (if none list "none")
I give permission for the administration of the following for minor discomfort *
Do not check if no permission given
If yes, please provide date of shot
If none state "none"
Swimming Ability *
Liability Waiver *

I desire to participate voluntarily in activities of Wild River Academy (“Activity”).  I am fully aware that there are inherent risks to myself and others involved with the Activity, including but not limited to illness, injury (including death), and loss of personal property, and I choose to voluntarily participate in the Activity and do voluntarily assume the above mentioned risks as to myself and my property, and to the person and property of others. I acknowledge that the Activity may be physically strenuous. I know of no medical reason why I should not participate.

HOLD HARMLESS, INDEMNITY AND RELEASE:

For myself, my heirs, personal representatives or assigns, I do hereby release, waive, covenant not to sue, indemnify and agree to hold harmless for any and all purposes Wild River Academy, its managing members, members, agents, volunteers and employees (“RELEASEES” and/or “INDEMNITEES”) from any and all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorney’s fees and expenses, which may occur to myself, other participants, and third-persons as a result of my participation and conduct in the Activity, while traveling to and from the Activity, or while on premises owned, leased, or controlled by RELEASEES/INDEMNITEES, including injuries sustained as a result of the sole, joint, or concurrent negligence, negligence per se, statutory fault, or strict liability of RELEASEES/ INDEMNITEES. I understand this waiver does not apply to injuries caused by intentional or grossly negligent conduct.

NO INSURANCE:

I understand that RELEASEES/INDEMNITEES do not maintain any insurance policy covering any circumstance arising from my participation in the Activity or any event related to that participation. As such, I am aware that I should review my personal insurance coverage.  Wild River Academy does not carry general liability insurance to cover claims arising from the Activity so it seeks a waiver of claims as additional consideration for my right to participate so that it can (a) provide the activity at the lowest possible cost to participants; and (b) provide access to a greater number of participants by expending limited resources on the Activity rather than on liability insurance.

MEDICAL AUTHORIZATION, INDEMNITY AND WAIVER:

I understand RELEASEES/INDEMNITEES cannot be expected to anticipate or control all of the risks associated with the Activity and RELEASEES/INDEMNITEES may need to respond to illnesses, accidents, injuries, and potential emergency situations. Therefore, I hereby give my consent for any medical treatment, rescue or evacuation services that may be required (as determined by staff, medics, emergency personnel, or other medical professionals) during my participation in the Activity with the understanding that the cost of any such treatment will be my responsibility. I, for myself, my heirs, personal representatives or assigns, agree to indemnify and hold harmless INDEMNITEES for any costs incurred to treat me, even if an INDEMNITEE has signed medical care facility documentation promising to pay for the treatment due to my inability to sign the documentation. I, for myself, my heirs, personal representatives or assigns, further agree to release, waive, covenant not to sue, and agree to hold harmless for any and all purposes, RELEASEES from any and all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorney’s fees and expenses, that may be sustained by me while receiving medical care or in deciding to seek medical care, including while traveling to and from a medical care facility, including injuries sustained as a result of the sole, joint, or concurrent negligence, negligence per se, statutory fault, or strict liability of RELEASEES. I understand this waiver does not apply to injuries caused by intentional or grossly negligent conduct.

VOLUNTARY SIGNATURE AND BINDING OF HEIRS AND ASSIGNS:

In signing this Agreement, I acknowledge and represent that I have read it, understand it, and sign it voluntarily as my own free act and deed. Wild River Academy, its members, agents, and employees, have not made and I have not relied on any oral representations, statements, or inducements apart from the terms contained in this Agreement. I execute this document for full, adequate and complete consideration fully intending to be bound by the same, now and in the future. It is my express intent that this Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of Minnesota.

AGREEING TO THIS DOCUMENT INVOLVES THE WAIVER OF VALUABLE LEGAL RIGHTS.

Should you have any questions about these rights and the ramifications of agreeing to this document you should consult an attorney.