2023 Winter Wilderness Survival

Date

Personal Information

First Name

Last Name

Home Phone

Alternate Phone

Home Address

City

Province/State

Country

Postal/Zip Code

Email Address

Emergency Contact Information

Contact Name #1

Relationship

Home Phone

Alternate Phone

Contact Name #2

Relationship

Home Phone

Alternate Phone

Medical Information

Medical insurance information (if other than OHIP)

Date of Birth

Age

Sex

Height

Weight

List of any allergies or dietary restrictions (medicine, environmental, etc)

List of any medical conditions, or pertinent injuries

Are you on medications?

No Yes

If so, what?

Do you wear contact lenses?

No Yes

Release of Liability

WARNING: You are about to enter a world of doom and gloom and legal-ese. But before we paint a picture of all the terrible things that might happen when you step outside your door to have an
adventure, we’d like to take a moment to share some of the things we do to reduce or prevent mishaps:

Kielyn and Dave Marrone are both Wilderness First Responder (80h first aid);
We are graduates of Laurentian University’s Outdoor Adventure Leadership Degree program,
and have years of combined experience guiding expeditions year-round, including thousands of
kilometres of remote wilderness expeditions;
We carry extensive first aid, emergency and repair kits and are well versed in how to use them;
We carry satellite communication (or cell communication if appropriate) devices on all our
expeditions. This includes a SPOT messenger device and/ or a satelllite phone;
All guest participants have the power of “Challenge by Choice”. That is, if there is ever an
activity that they do not feel comfortable with, they are encouraged to speak up and share this
concern with the guides and/ or group;
We have a dedicated logistical coordinator at home who has years of experience in this position,
and is well versed in our emergency protocols;
Because we make much of our own equipment, we are well versed in their strengths,
weaknesses and how to repair damaged equipment;
We believe the style in which we travel is inherently much safer than many other outdoor
pursuits. We try to travel at a slower pace and more in tune with the natural environment. We
carry the tools and knowledge necessary to weather storms and remain comfortable in
the wilderness for days on end. You will find we
are firmly on the side of safety and comfort in the wild.
We are a fully insured company.

PLEASE READ CAREFULLY!

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING
THE RIGHT TO SUE.

To: Lure Of The North

Name of Participant

Name of Trip

Hereafter referred to as “The Activity”.

Trip Start Date

Assumption of Risk

I am aware that any activity in the wilderness includes many inherent risks. Such activities pose a risk of emotional or physical injury, including the possibility of serious bodily injury or death.

I accept the fact that Lure of the North, and all associated guides or employees, cannot
guarantee my safety on such an expedition.
I also understand that damage to property may occur as a result of my participation in this
activity.
I freely accept and assume all such risks, danger and hazards and the possibility of personal
injury, death, property damage or loss resulting from my participation in this activity.
I understand that if I am removed from a trip for any reason whatsoever, all evacuation, hospital
expenses, doctors’ fees and repatriation costs are my responsibility. [Please note: the Ontario
government, which conducts rescue operations in Ontario, does not have a history of charging
for most rescues, though this may not be the case for international guests. Please look into
travel insurance].

In consideration of Lure of the North allowing my participation in the activity of The Activity, I
agree as follows:

1) To waive any and all claims that I have or may have in the future against Lure of the North and its owners, employees, independent contractors and other participants (all of whom are collectively referred to as “the Releasees”)