The Pennsylvania State University
Acknowledgement and Assumption of Risks—
ORION First Year Orientation Program (KINES 089)

Please review this document carefully before signing. All students/participants must sign this document. For participants under 18 years of age, parents or guardians must also sign.

The ORION program takes place in wild and remote settings. It is important that participants (and parent(s) of minor participants) understand the risks (also known as hazards or dangers) associated with ORION adventure activities. ORION makes reasonable efforts to manage the risks, but does not provide a guarantee of safety. Some, but not all of the activities, which may be mandatory or optional, scheduled or unscheduled, supervised or unsupervised as part of the ORION program include:

Some, but not all of the inherent or other risks of activities that participants may or will be exposed to include:

These and other activities, risks, hazards, and dangers can result in (for example):

These and other activities, risks, hazards, and dangers can result in (for example):

I (participant and parent(s)/guardian(s) of a minor participant):

Participants and parent(s) or guardian(s) of a minor participant agree: I have carefully and thoroughly read, understand, and voluntarily sign this two-page document and acknowledge that it shall be effective and binding upon me, my participating minor child, other family members, and my heirs, executors, and representatives.

All participants and parent(s) or guardian(s) of any minor participants (those under 18 years of age) MUST sign below:

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Participant Signature
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Date
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Print Name Here
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Parent or Guardian Signature
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Date
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Print Name Here
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2nd Parent or Guardian Signature
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Date
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Print Name Here