Northeast Mountaineering
MENUMENU
  • MOUNTAINEERING
        • NEW HAMPSHIRE
          • MT. WASHINGTON
          • MT. WASHINGTON OBSERVATORY OVERNIGHT
          • NH 4,000 FOOTERS
          • PRESIDENTIAL TRAVERSE
        • NORTH CASCADES
          • MT. RAINIER
          • ALPINE CLIMBING CAMP
          • MOUNT SHUKSAN
          • MOUNT BAKER
          • ELDORADO PEAK
          • VESPER PEAK
        • INTERNATIONAL
          • ECUADOR VOLCANOES
          • NEPAL: LOBUCHE EAST
        • CLIMBING SCHOOL
          • 1 DAY MOUNTAINEERING SKILLS
          • 2 DAY MOUNTAINEERING SKILLS
          • 5 DAY EXPEDITION SCHOOL
          • GLACIER TRAVEL & CREVASSE: BASIC
          • ADV. GLACIER TRAVEL & CREVASSE
          • WINTER CAMPING: CRAFT & TIPS
          • WILDERNESS NAVIGATION
  • HIKING
    • MOUNT WASHINGTON
    • NH 4,000 FOOTERS
    • PRESIDENTIAL TRAVERSE
    • OVERNIGHT BACKPACKING
    • SUMMIT AT SUNRISE
  • ICE CLIMBING
    • INTRODUCTION TO ICE
    • GUIDED ICE: 1 DAY
    • GUIDED ICE: 2 DAYS
    • GUIDED ICE: 3 DAYS
  • ROCK CLIMBING
    • CUSTOM ROCK CLIMBING
    • RUMNEY SPORT CLIMBING
    • GROUP ROCK CLIMBING
    • INTRODUCTION TO ROCK
    • LEARN TO LEAD
    • FAMILY ROCK CLIMBING
    • NEW HAMPSHIRE CLASSICS
    • ACADIA NATIONAL PARK
  • SKIING
    • KYRGYZSTAN
    • ICELAND
    • CHILE
    • BACKCOUNTRY SKI SKILLS
    • BACKCOUNTRY SKI TOURING
    • SKI MOUNTAINEERING
  • AVALANCHE ED
    • AIARE AVALANCHE 1
    • AIARE AVALANCHE RESCUE
    • AIARE AVALANCHE 2
  • RAPPELLING
    • WATERFALL RAPPELLING
    • CLIFF RAPPELLING
  • WILD MED
  • MORE
    • ABOUT NEM
      • OUR PURPOSE
      • OUR GUIDES
      • BLOG & UPDATES
      • USEFUL LINKS
    • ADDITIONAL SERVICES
      • THE BUNKHOUSE
      • RENTAL GEAR
      • GIFT CERTIFICATES
      • JOIN EMAIL LIST
    • SPECIAL PROGRAMS
      • SUMMER ADVENTURE CAMP
      • MOUNTAIN MENTOR PROGRAM
      • CORPORATE OUTINGS
      • COLLEGE/SCHOOL OUTINGS
      • BRAND AMBASSADOR
  • HELP DESK
    • CONTACT US
    • DIRECTIONS
MENUMENU
  • MOUNTAINEERING
        • NEW HAMPSHIRE
          • MT. WASHINGTON
          • MT. WASHINGTON OBSERVATORY OVERNIGHT
          • NH 4,000 FOOTERS
          • PRESIDENTIAL TRAVERSE
        • NORTH CASCADES
          • MT. RAINIER
          • ALPINE CLIMBING CAMP
          • MOUNT SHUKSAN
          • MOUNT BAKER
          • ELDORADO PEAK
          • VESPER PEAK
        • INTERNATIONAL
          • ECUADOR VOLCANOES
          • NEPAL: LOBUCHE EAST
        • CLIMBING SCHOOL
          • 1 DAY MOUNTAINEERING SKILLS
          • 2 DAY MOUNTAINEERING SKILLS
          • 5 DAY EXPEDITION SCHOOL
          • GLACIER TRAVEL & CREVASSE: BASIC
          • ADV. GLACIER TRAVEL & CREVASSE
          • WINTER CAMPING: CRAFT & TIPS
          • WILDERNESS NAVIGATION
  • HIKING
    • MOUNT WASHINGTON
    • NH 4,000 FOOTERS
    • PRESIDENTIAL TRAVERSE
    • OVERNIGHT BACKPACKING
    • SUMMIT AT SUNRISE
  • ICE CLIMBING
    • INTRODUCTION TO ICE
    • GUIDED ICE: 1 DAY
    • GUIDED ICE: 2 DAYS
    • GUIDED ICE: 3 DAYS
  • ROCK CLIMBING
    • CUSTOM ROCK CLIMBING
    • RUMNEY SPORT CLIMBING
    • GROUP ROCK CLIMBING
    • INTRODUCTION TO ROCK
    • LEARN TO LEAD
    • FAMILY ROCK CLIMBING
    • NEW HAMPSHIRE CLASSICS
    • ACADIA NATIONAL PARK
  • SKIING
    • KYRGYZSTAN
    • ICELAND
    • CHILE
    • BACKCOUNTRY SKI SKILLS
    • BACKCOUNTRY SKI TOURING
    • SKI MOUNTAINEERING
  • AVALANCHE ED
    • AIARE AVALANCHE 1
    • AIARE AVALANCHE RESCUE
    • AIARE AVALANCHE 2
  • RAPPELLING
    • WATERFALL RAPPELLING
    • CLIFF RAPPELLING
  • WILD MED
  • MORE
    • ABOUT NEM
      • OUR PURPOSE
      • OUR GUIDES
      • BLOG & UPDATES
      • USEFUL LINKS
    • ADDITIONAL SERVICES
      • THE BUNKHOUSE
      • RENTAL GEAR
      • GIFT CERTIFICATES
      • JOIN EMAIL LIST
    • SPECIAL PROGRAMS
      • SUMMER ADVENTURE CAMP
      • MOUNTAIN MENTOR PROGRAM
      • CORPORATE OUTINGS
      • COLLEGE/SCHOOL OUTINGS
      • BRAND AMBASSADOR
  • HELP DESK
    • CONTACT US
    • DIRECTIONS

HOLD HARMLESS AGREEMENT

  • Home
  • HOLD HARMLESS AGREEMENT

Submit Your Health Questionnaire and Hold Harmless Release

Northeast Mountaineering offers physically demanding programs. These programs take place in remote locations where advanced medical care is not readily available. For us to safely conduct these programs it is essential that we be fully aware of any health issues regarding our participants. Your responses will be strictly confidential.

  • PERSONAL INFORMATION

  • ABOUT YOUR ADVENTURE

  • Please select your scheduled adventure from the following dropdown list.
  • MM slash DD slash YYYY
  • EMERGENCY CONTACT

  • HEALTH INFORMATION

  • MM slash DD slash YYYY
  • RELEASE OF LIABILITY

  • I. Introduction
    Adventure-based activities are exciting, challenging and physically demanding. Our instructors and guides have a demanding job. They are experienced and trained to mitigate dangers and always put your safety first but they are not infallible. There are many uncertainties such as, but not limited to, to the following: participant’s fitness or abilities, misjudgments regarding the weather or other environmental conditions, providing incomplete warnings or instructions, and/or the equipment being used might malfunction. By agreeing to the following terms, you acknowledge the inherent dangerous activity and release Northeast Mountaineering, LLC and all of its agents from liability for any mishaps.

    II. Acknowledgment of Inherent Risks
    While the staff at Northeast Mountaineering aim to provide me with a safe and enjoyable experience, I realize that there is a certain degree of personal injury risk inherent in these adventurous activities when I participate. Although I will be instructed in safe practices in these activities, there are additional and unpredictable hazards relating to outdoor adventure-based activities that cannot be anticipated, which include but are not limited to, falling rocks, avalanches, varying weather conditions, and dangerous terrain which may result in but not limited to twisting an ankle, breaking a bone, sustaining a head or neck injury or other serious physical injury, or possibly death.

    III. Assumption of Risk and My Responsibility
    Knowing the physical risks inherent in these activities, I understand that I must assume responsibility for my own safety and the safety of other group members. This responsibility requires that I obey all rules and guidelines at all times and ask questions if I do not understand instructions given by guides. Further, I agree to pay attention to the condition of the equipment I may use (including but not limited to ropes, anchors, climbing equipment) and immediately report to a guide any perceived defect in the equipment.

    IV. Release and Hold-Harmless
    In consideration of the services and equipment provided to me, I, for myself and/or any minor child for which I am a parent or legal guardian or otherwise responsible, do hereby release, hold-harmless and waive all claims associated with the activities to which I will engage. I release Northeast Mountaineering, its members, directors, agents, assigns, employees and volunteers from any and all liability, personal injury or property claim for myself, my heirs, personal representatives or assigns.

    V. Authorization
    I hereby authorize any medical treatment deemed necessary in the event of an injury while participating in any Northeast Mountaineering activity. I agree that any film or photographs of myself as a participant may become the property of Northeast Mountaineering and may be used for promotional purposes. Although mountaineering is largely an individual adventure, it only takes one individual to put the entire group in danger. Northeast Mountaineering guides retain the right to deem a participant unfit or unprepared for their course or climb upon arrival, thus not allowing them to continue on. NEM guides also retain the right to turn a participant around at any point should they determine that individual is a hazard to themselves or the group. In order to keep all participants safe guide decisions are final and are nonnegotiable. Mountain conditions change rapidly and reaching the summit is never guaranteed. Plans are subject to change due to weather and route conditions.

    All Information is complete and accurate to the best of my knowledge.
  • If the participant is under the age of 18 their guardian needs to sign this document. By filling out this section and submitting this form you agree to an electronic signature.
  • This field is for validation purposes and should be left unchanged.

Sign up for deals and news

Please enter your email address.
Your personal information is safe and will never be distributed.

White Mountain National Forest

We are proud to work with the Department of Agriculture, the White Mountain National Forest and the Androscoggin Ranger District where we are authorized outfitter guides.

Leave No Trace Aware

The member-driven Leave No Trace Center for Outdoor Ethics teaches people of all ages how to enjoy the outdoors responsibly, and is the most widely accepted outdoor ethics program used on public lands.

Recommended on Trip Advisor

The world’s largest travel site. Know better. Book better. Go better. Browse over 385 million candid reviews, opinions, and photos of hotels, restaurants, attractions, and more - all by travelers like you




Join the Team | Browse Job Opportunities
Contact Us | 978.799.3783

© 2015-2018 Northeast Mountaineering LLC. All Rights Reserved.
    • 1 Day Mountain Skills Test
    • Acadia Rock Climbing
    • Administrative Assistant Timesheet
    • AIARE Alumni Backcountry Touring
    • AIARE Level 1 Itinerary
    • AIARE Resources
    • AIDCLIMB
    • Apply Today
    • April Fools
    • Avalanche Scholarship
    • Backcountry Ski Skills for AIARE Students
    • Blog Tips
    • Brand Ambassador
      • Apply for the Brand Ambassador Team
      • Partnership Agreements
    • Chile
    • Contact Northeast Mountaineering
      • Book Your Adventure Today Online
      • Directions to The Bunkhouse at NEM
      • GENERAL INQUIRIES
    • COVID-19 Policies and Procedures
    • David Lottmann
    • Digital Navigation for Backcountry Skiing
    • Evaluation
    • Experiential vs. Educational Outcomes Matrix
    • FAMILY ROCK CLIMBING
    • Gear List Complete
    • Gift Certificates
    • Groups
    • Groups and Outing Clubs
    • Guide Check-In Sheet
    • HOLD HARMLESS AGREEMENT
    • Homepage Test
    • Ice Climbing
      • Guided Ice Climbing: 1 Day
      • Ice Climbing Accelerated: 2 Days
      • Ice Climbing In Depth: 3 Days
      • Introduction to Ice Climbing
    • In The Media
    • INCIDENT REPORT
    • International Expeditions
      • Cayambe and the Ecuador Volcanoes
      • Nepal: Everest Base Camp Trek
    • Join The Club
    • Join the Northeast Mountaineering Team
    • Kyrgyzstan
    • Let Your Voice Be Heard!
    • Little Wanderers Adventure Camp
    • Locations
    • Merit Badge Consulting
    • Monday Fun-day at Rumney!
    • Mount Shuksan: North Cascades National Park
    • Mount Washington
    • Mount Washington Observatory Overnight
    • Mountain Mentor Program Details
    • Mountain Mentor Program Monthly
    • Mountain Mentorship Program
    • Mountaineering & Alpine Climbs
      • 5-Day Alpine Climbing Camp: North Cascades National Park
      • Adams + Madison Combo
      • AWC x NEM North Cascades
      • Backcountry Ski Progression
      • Custom Climbs
      • Eldorado Peak: North Cascades
      • Franconia Ridge
      • Mount Baker: Mount Baker-Snoqualmie National Forest
      • Mount Rainier: Mount Rainier National Park
      • Mount Stuart
      • Mount Washington in Winter
      • New Hampshire 4,000 Footers
      • Skills Course + Mt. Washington
      • Summit at Sunrise
      • Vesper Peak: Alpine Rock
      • Winter Presidential Traverse
    • MOUNTAINEERING, ROCK AND ICE CLIMBING GUIDES IN NEW HAMPSHIRE
      • AidClimb
      • Northeast Mountaineering Guides
      • Our Purpose
      • The Bunkhouse at Northeast Mountaineering
      • What Others Are Saying About NEM
    • MW Otto Rd Digital Navigation Workshop
    • NEPAL: LOBUCHE EAST
    • North Cascades 2020
    • Northeast Mountaineering Courses
      • Advanced Crevasse Rescue
      • AIARE Avalanche Rescue
      • Avalanche Companion Rescue
      • Five Day Expedition School
      • Glacier Travel & Crevasse Rescue
      • Introduction to Winter Hiking
      • Leave No Trace Awareness Course
      • Medical Care and Evacuation of the Avalanche Victim
      • One-Day Mountaineering Skills Course
      • Snow Stability Evaluation
      • The American Institute For Avalanche Research and Education: Avy 1
      • The American Institute For Avalanche Research and Education: Avy 2
      • Two-Day Mountaineering Course
      • Wilderness Navigation
      • Wilderness Navigation + Summit Attempt
      • Winter Camping
    • PERSPECTIVE: Stories from the Mountain Community
    • Photography Checklist
    • Please Rate Your Adventure
    • Products Page
      • Checkout
      • Transaction Results
      • Your Account
    • Professional Photography Packages
    • Purchase Your NEM Tee Today!
    • Rappelling Adventures
      • The Ultimate Rappelling Adventure
      • Waterfall Rappelling
    • Release of Liability
    • Resources: Everything you need in one spot!
    • Rock Climbing
      • GROUP ROCK CLIMBING
      • Guided Rock Climbing
      • Introduction to Rock Climbing
      • Learn To Lead
      • New Hampshire Classics
      • Rock Climbing Accelerated: 2 Days
      • Rumney Sport Climbing
      • Summer Adventure Camp
    • Self Evaluation
    • Share your adventure on Instagram
    • Ski Mountaineering & Touring
      • Backcountry Ski Touring
      • Backcountry Skiing Skills
      • Iceland: Backcountry Ski Touring
      • Ski Mountaineering
    • Snowshoe
    • Synergy by Northeast Mountaineering
    • Thank you for joining us!
    • The 70 Summits
    • The History of Mount Washington
    • Three Season Hiking
      • Franconia Ridge in The Summer
      • Hike New Hampshire’s 4,000 Footers
      • Overnight Backpacking
      • Summer Mount Washington
      • Summer Presidential Traverse
      • Summit at Sunrise
    • We Want Your Feedback!
    • Wild Corn 2018
    • Wilderness First Aid
    • Women’s Skiing with Allie Rood
    • Yosemite