Please note: This is a release of legal rights. Read and understand it before signing.
In consideration of being allowed the use of facilities and equipment at the Lapidary Shop operated by or participating in any field trip sponsored by the Apache Junction Rock & Gem Club, Inc. I agree to the following:

I am consenting to have my picture used for public means of advertising or club promotion.
I recognize that the use of the club’s shop equipment involves a certain risk of injury, even in normal use. I agree to assume sole responsibility for risk of injury and accident resulting from use of the facilities and/or equipment.
I agree to release and hold harmless and to indemnify from any and all liability whatsoever, the Apache Junction Rock & Gem Club, Inc., its volunteer monitors, agents, officers and assigns.
I have read and understand the lapidary safety rules. I am familiar with the operation and use of the shop equipment and tools and agree to exercise caution in using them.
In the event other persons suffer injury or loss on account of my use of the equipment and facilities, I agree to indemnify, hold harmless and defend the Apache Junction Rock & Gem Club, Inc., its volunteer monitors, agents, officers and assigns from any loss or expense incurred in defending claims made against it by a person or persons injured.
My acknowledgement below also indicates that the Lapidary Shop General Rules have been made available to me and I agree to abide by them. Failure to abide by these rules will result in my suspension from the lapidary shop.
I understand that a field trip or activity that I am participating in may include one or more of the following hazards that may result in personal harm: Unpredictable and dangerous environmental conditions / hazards including, but not limited to snow; rain; wind; very cold and very hot temperatures; lightning; altitude; loose rock; falling rock; avalanche; river hazards; mud slides; mud; ice, and slippery conditions; dehydration, heat prostration and sun stroke; wild animals including bears, dogs, cougars, pigs, etc.; poisonous animals / insects including ants, bees, snakes, scorpions, spiders, etc., irritating / prickly bushes and plants including cactus, trees, etc.; active or abandoned mine workings including tunnels, shafts, which may be covered or uncovered with rotten timbers, etc. I understand the risks inherent in all outdoor activities (including high altitude activities) existing in the environment, either natural or man-made.
I understand a field trip may entail strenuous physical exertion. I have been advised to consult with a medical doctor with regard to my personal medical needs. In case of medical emergency during my participation in the Field Trip, I authorize in advance all representatives of AJR&GC to secure whatever treatment is necessary. In the event that medical treatment is obtained for me, I agree to be fully responsible for payment of same and I agree to indemnify and hold harmless any person who has secured such medical treatment for me.
I understand that I am responsible for knowing and following rules and guidelines established by the BLM, Forest Service or the owner of any other land I am collecting on. Internet links and sources for this information can be found on the AJR&GC website among other websites and it is my responsibility to keep informed.
By participating, I am assuming the risks inherent in any field trip or activity and am releasing the Apache Junction Rock & Gem Club, Inc. their officers and field trip leaders from any liability for claims or lawsuits by the undersigned participant arising out of any field trip or activity.

I have read all the aforementioned information and understand any and all of it. Any questions which have occurred to me have been answered to my satisfaction. I am participating in these activities of my own free choice. If the participant is under 18, this form must be read and signed by parent or legal guardian before participating in the field trip or activity or using any club equipment.