Guest Information Form

Date

First Name

Home Phone

Home Address

Province/State

Email Address

Last Name

Alternate Phone

City

Country

Postal Code/Zip Code

Emergency Contact Information

Contact Name#1

Relationship

Home Phone

Alternate Phone

Email Address

Contact Name #2

Relationship

Home Phone

Alternate Phone

Email Address

Medical Information

Medical Insurance Information (for NON-Ontario residence only)

Date of Birth

Age

Sex

Height

Weight

List of any allergies or dietary restrictions.

List of any medical conditions and pertinent injuries.

Are you on any medications?

Yes

If yes, what?

Do you wear contact lenses

Yes

Release of Liability

PLEASE NOTE: THIS SECTIONS IS ONLY FOR ADULTS 18 YEARS AND OLDER. PLEASE SKIP THIS FORM IS 17 OR YOUNGER.

WARNING: You are about to enter a world of doom and gloom legal-ese. But before we paint a picture of all of 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 and prevent mishaps:

Kielyn and Dave Marrone are both Wilderness First Responder (80h first aid) and Ice Rescue Technician trained.

We are graduates of Laurentian University’s Outdoor Adventure Leadership Degree program.

We have over 30 years combined experience guiding year round, including thousands of kilometers navigating on frozen waterways in winter

We carry extensive first aid, emergency and repair kits on all of our expeditions and are well versed in how to use them.

We carry satellite communication (or cell communication if appropriate) devices on all our expeditions.

Lure staff have a private, informal safety meeting every day to discuss how the expedition has been proceeding and what adjustments could be made

All participants have the power of “Challenge by Choice” That is, if there is ever an activity they do not feel comfortable with, they are encouraged to speak up and share their concerns with the guides/and or group.

We always have a logistics coordinate back at home who is versed with our emergency protocols.

Because we make much of our own winter equipment, we are well versed in their strengths, weaknesses and how to repair them in the field.

We believe the style in which we travel is inherently much safer than many other outdoor pursuits. We travel at a slower pace and more in tune with the natural environment. We carry the tools and knowledge necessary to weather winter storms and remain comfortable in the winter wilderness for days on end. You will find we do not straddle a fine line between safety and catastrophe as many fast/light winter or alpine expeditions seem to do. Instead, 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 Inc.

Name of Participant

Name of Trip

Trip Start Date

Hereafter referred to as “The Activity”.

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 Inc. and all associated guides or employees, cannot guarantee my safety on such an expedition or experience.
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 or experience 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 Inc. allowing my participation in the activity of The Activity, I agree as follows (please initial below to confirm you have read and agree with the below conditions):

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