First Name *

Last Name *

Email (GVSU Email if applicable) *
Please enter a GVSU email address ending in @gvsu.edu or @mail.gvsu.edu.

Phone (cell phone is the preferred method for group communication in Munising) *

Age by the date of the trip *
- Select Option Less than 18 18 or older

Do you own a reliable vehicle that you are willing to use to drive yourself or transport others to Munising? *
- Select Option Yes, I plan to drive myself Yes, I am willing to transport others No, I will need a ride to the Fest

As a GVSU supported trip, all participants who plan to drive other participants must go through the University's process for driver approval. If you have a Michigan driver's license, it's a FREE and easy process that can be completed by filling out this Driver Approval Request Form. Please do this at least 2 business days prior to the departure date.

How many open seats do you have available? *
- 1 2 3 4 5 6 7 8 9 10 11

What interests you most about attending Ice Fest and what, if anything, are you most nervous about? *

Experience, or lack thereof will not affect your ability to attend and enjoy the Fest. The questions below simply help the trip leaders understand how to best support you at the event.

Have you attended MI Ice Fest before? *
- Select Option Yes No

How many times have you been to Ice Fest? *

How much climbing on rock or ice have you done before? (experience not required for attendance) *
- Select Option Regular climbing > 1 year Regular climbing < 1 year A handful of times in the last couple years Only a couple times in my life I have never climbed before

In which skills are you proficient? (Check all that apply) *
Putting on a climbing harness
Tying-in as a climber
Belaying (top rope)
None of these

Which gear items do you own? (check all that apply) *
climbing harness
belay device (any style)
climbing helmet
technical ice tools
mountaineering boots
crampons
none of these

First Name *

Last Name *

Phone *

Relation? *

The following questions have particular significance when immediate medical care is not readily accessible. Please answer as honestly as possible, to the best of your ability. Failure to complete this section will not affect your eligibility to participate but may help the leadership act appropriately in the event of an emergency. All responses will be confidential between you and the trip leaders.

Do you have any known allergies (food, medications, plants, animals, insects, etc.)? *
- Select Option Yes No

Please describe what you are allergic to, your typical reaction and treatment.

Please indicate any known medical conditions/ concerns that could affect your ability to participate. *
Asthma
Diabetes
Epilepsy
High Blood Pressure
Recent Musculoskeletal Injury
Other - Not Listed
None

Please describe your condition/ concern, triggers, and typical management.

Your waiver may only be signed by your parent/ legal guardian. You will receive a link to a .pdf version in the confirmation email. Please forward it to your parent/ legal guardian for completion and return it to a trip leader no later than the pre-trip meeting.

I hereby declare, assert, and affirm that my participation in the Grand Valley State University Outdoor Adventures trip (Trip) is done having voluntarily and knowingly assumed all risks involved in this event. The immediate physical risk(s) associated are those correlated with normal, vigorous physical activity. These risks include, but are not limited to, bodily discomfort and fatigue, muscular soreness, pulled or strained muscles, overuse injuries/soft tissue damage, bodily injury resulting from falls, ice fall, or misused equipment, environmental hazards such as extreme temperatures and encounters with flora/ fauna, and the rare instance of abnormal changes/responses of the cardiopulmonary system to exercise. Adverse responses include abnormal blood pressure, heart arrhythmias, and the very rare instance of heart attack, stroke, or sudden death.

In consideration of acceptance of this contract allowing my participation in the above stated Trip and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators, and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages, or losses that I may incur involved in the above stated Outdoor Adventures Trip, specifically Grand Valley State University, its respective employees, agents, representatives, successors, and assigns for any and all activities connected with the above Trip. If I am a Grand Valley employee (faculty or staff member), I also understand that I do hereby WAIVE any and all rights or benefits under the State of Michigan Worker’s Compensation laws for any injury incurred as a result of my participation in this event.

Signature *

By signing, you agree that you have read and agree to the Acknowledgement of Risk & Release of Liability section above. 

This is an OPTIONAL waiver. Failure to grant permission WILL NOT affect eligibility to fully participate in the trip.

By signing below, I hereby authorize Grand Valley State University to:

1. Record my likeness and voice on video, audio, photographic, digital, electronic or any other medium.
2. Use, reproduce, exhibit or distribute in any medium these recordings for any purpose that the University, and those acting pursuant to its authority, deem appropriate, including promotional or advertising efforts.

I give permission to Grand Valley State University to use, without charge and without reservation, my likeness in any medium and for any lawful purpose, including promoting the University, its programs and services.

I waive any rights of action I may have and release Grand Valley State University and its licensees from any and all claims I may have arising from my likeness, including any rights to sue for defamation or violation of my rights of
privacy and publicity.