I acknowledge that there are inherent hazards and risks associated with the activities of the Men’s F.I.R.E. Retreat. Inherent hazards and risks include but are not limited to:

1. Risk of injury from the activities and equipment utilized is significant including the potential for permanent disability and death.
2. Possible equipment failure and/or malfunction.
3. These activities take place outdoors and therefore includes risks associated with exposure to the elements.
4. My own negligence and/or the negligence of others, including but not limited to operator error and guide decision making including misjudging terrain, weather, trails, and route location.
5. Accidents or illness occurring in remote places where there are no available medical services.
6. Fatigue, chill, and/or dizziness, which may diminish reaction time and increase the risk of accident.

I understand the description of these risks is not complete and that unknown or unanticipated risks may result in injury, illness, or death.

In consideration for being permitted to participate in the Men’s F.I.R.E. Retreat activities:

I RELEASE AND HOLD HARMLESS WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE, F.I.R.E. Ministries, LLC and its board, council, officers, directors, employees, representatives, agents, and volunteers (collectively referred to as “Releasees”) from liability and responsibility whatsoever and for any claims or causes of action that I, my estate, heirs, survivors, executors, or assigns may have for personal injury, property damage, or wrongful death arising from the above activities whether caused by negligence of any Releasee or otherwise.

I am not relying on any oral or written representation or statements made by the Releasees.

This release shall be binding to the fullest extent permitted by law. If any provision of this release is found to be unenforceable, the remaining terms shall be enforced.

I HAVE READ THIS AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Liability Release

I understand that this event may include the opportunity for physical activities which may include but are not limited to canoeing, swimming, hiking, horseback riding, rock climbing, challenge course experiences, etc. Many of these
activities by their nature are physically and emotionally demanding and may involve risks such as bending, twisting, lifting, running, jumping, climbing, swinging, increased heart or breath rates, heights of 40 feet or more, and physical contact with others.

I understand that while Prairie Star Ranch staff will make every reasonable effort to minimize exposure to known risks, not all dangers and hazards can be foreseen. I am aware that certain risks and dangers exist in the activities that are beyond the control of Prairie Star Ranch and its employees.
I understand that my participation in events and activities at Prairie Star Ranch could expose me to infection, communicable disease, and epidemics, including but not limited to COVID-19.

All participants have the right and the responsibility to limit their participation in any activity they believe will compromise their safety. I understand that the Prairie Star Ranch staff has the right to deny participation in any activity, and it is the participant’s responsibility to follow the safety guidelines and procedures established by the facilitator(s).
I understand and assume all dangers and risks (both known and unknown) associated with my participation in the
Prairie Star Ranch activities, and hereby agree to release and hold harmless the Archdiocese of Kansas City, Kansas, the
parishes of the region and youth ministers, volunteers, and any of their agents from any and all liability for any and all
injury, loss or damage of property, and from any legal fees that may result from my participation, unless such claim arises
from the negligence of Prairie Star Ranch.
​ I agree to accept financial responsibility for any medical expenses incurred as a result of my participation.
By checking the block below I agree that I have carefully read and agree to all of the sections here initialed, and that my signature on this document is also intended to bind my representatives, administrators, successors, heirs, next of kin and assigns on my behalf.

I hereby authorize the Archdiocese of Kansas City in Kansas and its agents to utilize my family’s photographic and video image for the specific purpose of publication of the Archdiocese of Kansas City in Kansas events (including promotional materials). In giving my consent, I hereby release and hold harmless the Archdiocese of Kansas City in Kansas and its agents from any and all responsibility or liability. I understand that I will receive no compensation, should any photograph of my family be used.

By signing below, you understand that Prairie Star Ranch recommends that you do not physically participate in activities
that you think might put you at risk. If you are concerned, your facilitator can provide you with a less physical way to stay
involved. Please take into consideration pre-existing conditions such as:

If you have a history of heart problems or high blood pressure; if you are pregnant; if you are recovering from broken bones, dislocated joints, sprains, strains, back or neck injuries.

If you have emergency medications for any conditions impacted by high physical activities it is your responsibility to make
sure they are ready and available during your participation (i.e. rescue inhalers, epinephrine pen, diabetic medication,
seizure medication).

Retreat registration will not be reimbursed if canceled after January 31, 2025.