Warning: Read This. Page 1

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1 Mountain Guide Training and Certification Program Box 3010, Kamloops, BC Canada, V2C 5N3 phone: (250) , (250) fax: (250) Application Package July, 2003

2 About This Application Package This application package assumes you have the Program Information booklet which describes the various programs, courses, and exams offered in the Mountain Guide Training and Certification Program and that you meet or exceed the requirements for the program you have chosen. If you do not have the general information booklet or are uncertain whether you qualify to apply, please contact the University College of the Cariboo for further information or assistance. This application package contains the following: Guidelines for preparing your application (page 2) Preparing your curriculum vitae (page 3) Example format of a curriculum vitae (page 3) Preparing your personal skills resume (page 4) Example a personal skills resume (page 4-5) Payment and cancellation policies (page 6) Medical form (page 7) Registration form (page 8) Waiver (page 9-11 ALL PROGRAMS EXCEPT CLIMBING GYM INSTRUCTORS) Waiver (page CLIMBING GYM INSTRUCTORS ONLY) Dates and Fees information flyer Warning: Read This Read all the information in this application booklet carefully. Follow instructions for preparing and submitting your application exactly. INCOMPLETE AND LATE APPLICATIONS WILL BE RETURNED IMMEDIATELY Space on courses and exams may be limited and if your application is returned, you may not get a seat even if you qualify. If you are applying to more than one program simultaneously, you must indicate each course separately. Personal skills resumes must reflect each course applied to. It is essential to type or word process your curriculum vitae and personal skills resume so they are formatted exactly as the examples provided. Poorly organised applications or unformatted curriculum vitaes and resumes jeopardise your chances of acceptance because your background, skills, and qualifications may not be clear and/or may compare unfavourably to other applications. If your application is not organised and formatted according to the guidelines and examples in this package, it may be rejected immediately. It is strongly recommended that you allow yourself adequate time to create a well structured, organised, and complete application that arrives on time. This will greatly enhance your chances of being accepted if you qualify. When you sign the registration form you warrant the information in your application is true and correct. False, exaggerated, or embellished information will result in rejection of your application. If you are accepted and it becomes clear in the field that you are not at the standard indicated on your application, instructors have the right to require you leave the course immediately. Please call for information or advice if you are uncertain about any aspect of applying, have questions, or need advice. Page 1

3 Guidelines for Preparing Your our Application Keep in mind that your application is a first impression. As such, it plays a significant role in whether you will be accepted into the program or not. Not all the steps or documents shown below are required for every course or exam. Check the requirements on the applicable page where your course or exam is described in the Program Information booklet to ensure your application contains the correct documentation. To ensure your qualifications and background are presented in as effective a manner as possible, follow the steps below carefully: 1. Check the Dates and Fees information to ensure you have the correct date, application deadline, deposit, and fee information (enclosed with this package or contact the Mountain Guide Training and Certification Program office). 2. Complete the registration form. 3. Staple a cheque or money order to the front of the registration form. If you are paying by credit card, please call and provide your card number. 4. Find a witness for the waiver. Read the waiver included in this package., sign, and date the waiver where indicated. Have the witness sign the waiver. Ensure that you complete and sign only one waiver and that it is the correct waiver. For all programs EXCEPT Climbing Gym Instructors, use the waiver on pages Climbing Gym Instructors ONLY use the waiver on pages Place two passport photos in an envelope and staple to the back of the registration form (if required). 6. Prepare a curriculum vitae or update (see page 3). 7. Have a physician complete the medical form. NOTE: Applicants to Climbing Gym Instructor courses ARE NOT REQUIRED to submit a medical form. 8. Obtain letters of reference and proof of apprenticeship or work experience if required. 9. Make copies of the following certificates as required. Do not send originals. First aid certificate CPR certificate Avalanche course certificate Prerequisite guide course certificates and/or performance evaluation forms Post-secondary school transcripts and/or diplomas 10. Staple the documents from steps 7, 8, and 9, in that order, to your curriculum vitae. 10. Attach the curriculum vitae to the back of the registration form. 11. Prepare a personal skills resume or update (see page 4-5). Attach the resume to the registration form below the curriculum vitae. 12. Double check all requirements and documentation, place your application in a 9 x 12 envelope, and mail to the Mountain Guide Training and Certification Program. Page 2

4 Preparing Your our Curriculum Vitae The curriculum vitae provides an overview of your personal information and work history that relates to the program, course, or exam. When first applying, ensure that your original c.v. is complete and that all applicable documents are attached. If sending an update you should carefully review your original and submit any changed or new information, for example, change of address, phone number, etc., new/further education, new references, changes in contact information for references, etc. Keep a copy of your curriculum vitae for future reference. Example Of A Curriculum Vitae Scores of c.v. s are reviewed every year. Using the following structure minimises the chance that important information will be missed and maximises your chances of being accepted. Curriculum Vitae for (insert your name) (insert month, year) Full name: last, first, middle Date of birth: year/month/day Mailing address: street/post office box, city, province, postal code Home address: (if different than above) street/post office box, city, province, postal code Home phone: (###) ###-####, fax: (###) ###-####, voice mail: (###) ###-#### Work phone: (###) ###-####, fax: (###) ###-####, voic (###) ###-#### Home xxxx@xxxx.xxx, work xxxx@xxxx.xxx Emergency contact name: someone we can contact in case of emergency Emergency contact address: street/post office box, city, province, postal code Emergency contact home phone: (###) ###-####, fax: (###) ###-####, voice mail: (###) ###- #### Emergency contact work phone: (###) ###-####, fax: (###) ###-####, voic (###) ###-#### Academic education: Include copies of transcript(s) or diplomas for post-secondary education. Institution Diploma Or Degree Date Completed Cochrane High School Grade Mount Royal College Outdoor Pursuits 1988 University of Calgary B.Sc. Kinesiology 1993 Trade education: Include copies of current certificates held. Institution Diploma Or Degree Date Completed Canadian Avalanche Association Level 1 Ski Operations 1994 Association of Canadian Mountain Guides Backpacking Guide 1994 Rescue Dynamics Wilderness Emergency Care 1988 Rescue Dynamics Wild. Em. Care Refreshers 1991, 1994, 1997, 2000 Goals: write a paragraph or two describing why you are applying to the program. References: Include 1 or 2 personal references (someone familiar with your general background). Name Relationship Profession Home phone Work phone Joe Hiker Friend Engineer (###) ###-#### (###) ###-#### xxxx@xxxx.xxx Related work experience: Include jobs or work that is pertinent to the program. List most recent experience first. Employer Job Held Dates Description of Duties Fred's Gym Climbing Instructor Feb 99 - Jan 00 Teach introductory climbing courses X Ski Area Pro Ski Patrol Winters, Accident response, first aid, mountain rescue Y Mtn School Gear Manager May 89 - Nov 91 Gear logistics, organisation, and repair Page 3

5 Preparing Your our Personal Skills Resume Your personal skills resume should clearly provide the information identified in the prerequisites describing the program to which you are applying. Keep a copy of your resume for future reference. If you are preparing an update to your personal skills resume, you should carefully review your original and the additional requirements (if any) listed for progressing in the program. Your update should use the same format as the original but should supply only information that is new or changed since you sent your original. For example, new references or changes to reference contact information, new background, pertinent routes or trips done since your last application, etc. Example Of A Personal Skills Resume Scores of resumes are reviewed every year. Using the following structure minimises the chance that important information will be missed and maximises your chances of being accepted. The FIRST PAGE of your Personal Skills Resumes should look as follows: Personal Skills Resume for (insert your name) (insert program name, e.g. Alpine Guide, Climbing Gym Instructor, etc.) Program insert date (month, year) References: Include two or more technical references (someone with whom you have been active in the field and can confirm your experience and abilities). Name Relationship Profession Home phone Work phone Joe Hiker Climbing Partner Engineer (###) ###-#### (###) ###-#### xxxxx@xxxxxxx.xxx Write a paragraph or two that describes how many years of experience you have doing trips and activities that relate to the program you have chosen. Illustrate that you have experience in a variety of locations and/or climates and/or types of terrain. You should include the training regime you used or use to develop and maintain your skills. The SECOND PAGE of your Personal Skills Resume should contain prerequisite route and trip information. Remember that the routes and trips you list on this page should include ONLY those that you have led or co-led. Format as follows: Rock Guide Program: List in this order: short routes (1-3 pitches in the past year requiring protection placement (minimum 5.10+) sport climbs (fixed protection) flashed in the past year. Minimum Significant redpoints in the past year that indicate your top climbing standard moderate length routes (full day multi-pitch). See page 14 of the general information booklet for examples or more longer routes (very long day/or multi-day). See page 14 of the general information booklet for examples. 6. Any routes which required direct aid. Use this format for rock routes (or ice climbing routes for alpine guide candidates): Route Difficulty Location Belayer Date Style (if applicable) Name of Route Route Grade Area/crag Partner s name (month/year) Flash/Redpoint Page 4...this example continues on page 5

6 Example Of A Personal Skills Resume - continued Ski Guide Program: List in this order: one to two-day tours in high alpine or glaciated terrain 2. 2 five-day or longer tours, not hut based, in remote, glaciated terrain 3. 5 three to five day or longer tours in remote, glaciated terrain (may be hut based) 4. 5 peaks requiring mountaineering skills, climbed during ski tours 5. Recent summer mountaineering experience 6. Attach a logbook or logbook copy documenting at least 50 days of recorded snowpack and weather observations after the above list OR provide the name and contact information for a reference from a snow safety operation to verify observation days. Alpine Guide Program: List in this order: moderate length, mixed alpine routes 2. 5 long or multi-day alpine climbs 3. Recent travel on icefields and glaciers in summer conditions Grade IV or harder waterfall ice climbs (use the rock climbing format to list waterfall ice climbs) Hiking Guide Program: List in this order: 1. A paragraph or two describing how you have gained a good understanding of hazards related to mountain travel day hikes, of which 10 should describe off trail travel in alpine terrain and a minimum of 700 metres elevation gain/loss backpacking trip nights. Describe which trips involved overnight stays in alpine terrain and advanced map and compass use for navigation. Ski Guide/Alpine Guide/Hiking Guide Program Use this format for skiing, mountaineering, alpine climbing, and hiking trips or routes: Trip Location Duration Date Name and/or description of route Area/Range Number of days (month/year) On the THIRD AND SUBSEQUENT PAGES OF YOUR PERSONAL SKILLS RESUME, you may list additional information pertinent to your application. This could be trips, routes, or courses. It is strongly recommended that you list only those trips or routes that you led or co-led. If you feel that routes or trips where you were a participant and not a leader are pertinent, make sure this is clearly noted and present them separately from led or co-led trips. If presenting courses, write a paragraph or two as an overview and/or use a format similar to the one used for listing education in the c.v. example. Page 5

7 Payment And Cancellation Policy Course Fees Fees include administration, instruction, assessment, and special travel (e.g. helicopter, snowcat, lifts, etc.) while on the course. Accommodation, meals, and/or food allowances may be provided on some courses; please read logistical information carefully when you are accepted. Candidates may be required to cook meals, especially in the field or in huts and must provide their own transportation to, from, and during the course. Candidates are responsible for all their own equipment and lunches. Payment The following policies will be strictly enforced. Your application and the required deposit as indicated on the "Dates and Fees" information is due on or before the closing date. Balance of payment is due 30 days before the course starts. Your application will become void if full payment is not received on time. Payment can be made by cash, cheque, money order, or one of the following credit cards: VISA, Mastercard, or American Express. Do not send cash in the mail. Make cheques and money orders payable to The University College of the Cariboo. Payment must be in Canadian funds. If payments are late, your place on the course may be forfeited. Cancellation/Refunds The following policies will be strictly enforced. If notice of cancellation is received by the UCC more than 30 days before the course starts, your deposit will be refunded. There will be no refunds of any kind if notice of cancellation is received less than 30 days before the course starts. Notice of cancellation must be made in writing to the Guide Training and Certification Program at the University College of the Cariboo. If a course or exam is cancelled by us, all fees will be refunded in full. It is strongly recommended that you purchase trip cancellation insurance in case you become ill or injured and are unable to attend the course. Such insurance is available at most travel agencies. Check wording of policies carefully. Please call for advice if you are having difficulty finding insurance. Notification of Acceptance Applications and payments are held until the closing date at which time applications are reviewed. Successful applicants will be notified of acceptance within four weeks after the closing date. Dates and Fees Course dates and fees are updated regularly and may change without notice. For current information contact: Mountain Guide Training and Certification Program University College of the Cariboo Box 3010, Kamloops, BC, V2C 5N3 phone: (250) / (250) fax: (250) acmg@cariboo.bc.ca Page 6

8 Submit with your application. NOT REQUIRED for Climbing Gym Instructors Medical Form orm orm July 2003 To the examining physician: Mountain guiding involves leading clients in roped climbing and otherwise hazardous terrain, in summer and winter. The profession demands the highest level of physical and mental fitness. Failure of the guide s health in the mountain environment would seriously jeopardize the lives of the guide and clients. Health History CV Dis (ischaemic, arrythmia): Neurological Dis (epilepsy): Respiratory Dis (asthma, pneumoth.): Metabolic Dis (diabetes): Psychiatric Dis: Addictions (alcohol, drugs): Sensory (visual, hearing, vertigo): Other significant Dis: Medications: Yes No Comments (Attach sheet if necessary.) Details of any Yes answers and how they might impair professional performance. Physical Examination Normal Abnormal Comments (Attach sheet if necessary.) CV System: Musc-Skeletal System: Nervous System: Respiratory System: Psychiatric Evaluation: GI System: Auditory Acuity: Visual Acuity (with correction): Blood Pressure-Systolic: Diastolic: Urinalysis-Protein: Glucose: Details of any abnormalities and how they might affect professional performance. Health Evaluation Is the aspirant fit to guide? YES NO (If in doubt arrange the appropriate consultation and include results.) Name of aspirant (please print): Examining physician (please print): Signature of physician: Date: Address: Phone Number: Page 7

9 Name: Address: Province: Home Phone: Fax: Detach this form and submit with your application. Registration Form orm orm July 2003 Date of Birth: City: Postal Code: Work Phone: year/month/day Emergency Contact: Address: City: Province: Postal Code: Home Phone: Work Phone: Fax: Names and dates of all courses or exams for this application: Course: Deposit/Payment Enclosed: Course: Deposit/Payment Enclosed: Course: Deposit/Payment Enclosed: List any special dietary requirements (i.e. vegetarian, allergies, etc.) List any medical conditions (i.e. allergies, contact lenses, prescription drugs etc.) Refer to the program prerequisites and check the boxes below indicating what documentation is required and what is included with this registration. If documentation is missing, your application will be rejected unless a reasonable explanation is attached. -Not Req'd -Required -Included Deposit or Payment 2 passport type photographs Waiver (signed and witnessed) Curriculum Vitae Medical form First aid certificate CPR certificate -Not Req'd CAA avalanche course certificates Prerequisite guide course certificates Post secondary transcripts/diplomas Letter(s) of reference Personal skills resume Other. Describe I acknowledge having read this handbook, agree to the terms and conditions described, am aware of the payment and cancellation policy, and certify all information in my application is true and correct. Signature of Applicant: Date: Page 8 -Required -Included

10 THIS WAIVER FOR ALL APPLICANTS EXCEPT CLIMBING GYM INSTRUCTORS The University College of the Cariboo Adventure Programs Department Please Print Name: Address: RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, INDEMNITY AGREEMENT, AND JURISDICTION AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY! TO: THE UNIVERSITY COLLEGE OF THE CARIBOO (hereinafter referred to as UCC ) AND TO: AND TO: HER MAJESTY THE QUEEN IN RIGHT OF THE PROVINCE OF BRITISH COLUMBIA (hereinafter referred to as THE PROVINCE ) THE ASSOCIATION OF CANADIAN MOUNTAIN GUIDES (hereinafter referred to as ACMG ) DEFINITIONS: In this agreement: a) the term SKIING shall apply to helicopter skiing, snowcat skiing, backcountry skiing, snowmobile assisted skiing, alpine skiing, telemark skiing, snowboarding cross country skiing, and ski touring, b) the term CLIMBING shall refer to alpine climbing, rock climbing, ice climbing, caving, mixed climbing, and mountaineering, c) the term HIKING shall refer to day hiking, backpacking, and snowshoeing. d) the term RESCUE shall refer to rope rescue, rock rescue, cave rescue, mountain rescue, helicopter rescue, and avalanche rescue, e) the term WILDERNESS TRAVEL shall refer to all forms of land, air, and water based travel and shall include all activities, services and use of facilities either provided by or arranged by UCC or the ACMG or in any way related to skiing, climbing, hiking, rescue, and wilderness travel activities including, but not limited to: orientation and instruction sessions, transportation, accommodation, and recreational activities in addition to skiing, climbing, hiking, rescue, and wilderness travel; f) the term TRANSPORTATION shall refer to all forms of transportation off road and on public roads, private roads, and logging roads, including UCC owned vehicles, leased vehicles, ferries, airplanes, student owned vehicles, snowmobile, snowcat and helicopter either provided by or arranged by UCC or the ACMG or in any way related to skiing, climbing, hiking, rescue, and wilderness travel activities including, but not limited to: loading, unloading and travel in or movement around vehicles, snowmobiles, snowcats and helicopters. g) the term INJURY shall refer to all forms of physical, mental, and emotional injury in any way related to skiing, climbing, hiking, rescue, wilderness travel, and transportation activities including, but not limited to: death, breaks, strains, lacerations, dislocations, amputations, frostbite, hypothermia, trauma, anxiety, phobias, and fears. Page 9

11 RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, INDEMNITY AGREEMENT, AND JURISDICTION AGREEMENT (continued) ASSUMPTION OF RISKS AVALANCHES, ALPINE TERRAIN, SKI TERRAIN, CLIMBING TERRAIN, WILDERNESS TRAVEL, WEATHER, ETC. I am aware that skiing, climbing, hiking, rescue, wilderness travel, and transportation involves risks, dangers and hazards in addition to those normally associated with travel in land, and air based wilderness environments. Avalanches occur frequently in the alpine terrain used for skiing and climbing and may be caused by but not limited to natural forces or by climbers or skiers. Rock fall, ice fall, climber falls, and skier falls occur frequently in the alpine terrain used for climbing and skiing and may be caused by but not limited to natural forces or by climbers or skiers. Bear or other wildlife attacks, rough or irregular terrain, and hiker falls are frequent hazards in the wilderness terrain used for hiking and may be caused by natural forces or hikers. Vehicle rollovers, overloaded roof racks, pulling trailers, inexperienced drivers, and hazardous driving conditions may occur in the type of transportation used for skiing, climbing, hiking, rescue, and wilderness travel and may be caused by but not limited to natural forces or people. I acknowledge and accept that UCC or the ACMG and their staff may fail to predict whether the terrain used is safe for skiing, climbing, hiking, rescue, wilderness travel, and transportation or whether an accident may occur. The terrain used for skiing, climbing, hiking, rescue, and wilderness travel is uncontrolled, unmarked, not inspected and involves many risks, dangers and hazards. These may include, but are not limited to: attacks by bears and other animals, ice and snow cornices, trees, falling trees, tree wells, tree stumps, creeks, rocks, boulders, forest deadfall, holes and depressions on or below the snow surface, steep slopes, cliffs, ice fall and rock fall, variable and difficult snow conditions, crevasses, snowcat roads and road banks, fences and other man-made structures, impact or collision with other skiers or climbers; hail, lightening, inclement weather, failure to predict weather, vehicle rollovers, overloaded roof racks, pulling trailers, unsafe driving, unsafe road conditions; the failure to ski or climb safely within one s own ability or within designated areas; human error, failure to forecast or recognize a hazardous situation, negligence of other skiers, climbers, hikers, or rescuers; and NEGLIGENCE ON THE PART OF OTHER STUDENTS, UCC, ACMG OR THEIR GUIDES, EMPLOYEES, AND CONTRACTORS INCLUDING THE FAILURE OF UCC OR ACMG OR THEIR GUIDES, EMPLOYEES, AND CONTRACTORS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF WILDERNESS SKIING, CLIMBING, HIKING, RESCUE, WILDERNESS TRAVEL, AND TRANSPORTATION. Communication in the terrain used is difficult and in the event of an accident, rescue and medical treatment may not be available. Weather conditions may be extreme and can change rapidly and without warning, making travel by any means hazardous. I AM AWARE OF THE RISKS, DANGERS AND HAZARDS ASSOCIATED WITH SKIING, CLIMBING, HIKING, RESCUE, WILDERNESS TRAVEL, AND TRANSPORTATION AND I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS AND HAZARDS AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING THEREFROM. NOTICE TO SNOWBOARDERS AND TELEMARK SKIERS INCREASED RISK Unlike alpine ski boot and binding systems, snowboard and some telemark boot and binding systems are not designed or intended to release and will not release under normal circumstances. The use of such systems or the use of a safety strap or retention device by snowboarders or telemark skiers will increase the risk of not surviving an avalanche. NOTICE TO PARTICIPANTS OF PROFESSIONAL GUIDE TRAINING COURSES INCREASED RISK UCC and the ACMG provide training intended to develop professional skiing, climbing, hiking, rescue, and wilderness travel guides. To train professional guides it is necessary for students to participate in activities that have higher levels of risk than what may be considered reasonable by entry-level, intermediate, novice, commercial guiding, or recreational standards. This may include, but is not limited to activities such as: lead climbing where the climber places his or her own protective equipment, climbing without helmets, travel and decision making in avalanche terrain, climbing and rescue in a multi-pitch environment, students driving program vehicles, hiking in unusually rough and remote terrain, stress from examination and grading processes, students making route and hazard assessment decisions on behalf of other students, unsupervised activities; and continuing with an activity when it may not be considered reasonable by entry-level, intermediate, novice, commercial guiding, or recreational standards (for example, when fatigued, in inclement weather, or in high hazard conditions). Page 10

12 RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS, INDEMNITY AGREEMENT, AND JURISDICTION AGREEMENT (continued) RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT In consideration of UCC, the ACMG, and THE PROVINCE allowing me to participate in skiing, climbing, hiking, rescue, wilderness travel, and transportation, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows: 1. TO WAIVE ANY AND ALL CLAIMS that I have or may have in the future against UCC, the ACMG, and THE PROVINCE and their directors, officers, employees, instructors, guides, agents, independent contractors, representatives, successors and assigns (all of whom are hereinafter referred to as the RELEASEES ) and TO RELEASE THE RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer or that my next of kin may suffer as a result of my participation in skiing, climbing, hiking, rescue, wilderness travel, and transportation activity, DUE TO ANY CAUSE WHATSOEVER, INCLUD- ING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPI- ER S LIABILITY ACT, R.S.B.C. 1996, c.337, ON THE PART OF THE RELEASEES, AND INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF SKIING, CLIMBING, HIKING, RESCUE, WILDERNESS TRAVEL, AND TRANSPORTATION REFERRED TO ABOVE. 2. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any property damage or personal injury to any third party resulting from my participation in skiing, climbing, hiking, rescue, wilderness travel, and transportation; 3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any costs they may incur for medical costs, search and rescue, evacuation, and litigation resulting from my participation in skiing, climbing, hiking, rescue, wilderness travel, and transportation; 4. That this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity; 5. This Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of British Columbia and no other jurisdiction, and 6. Any litigation involving the parties to this Agreement shall be brought solely within the Province of British Columbia and shall be within the exclusive jurisdiction of the Courts of the Province of British Columbia. In entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of skiing, climbing, hiking, rescue, wilderness travel, and transportation other than what is set forth in this Agreement. I CONFIRM THAT I AM THE FULL AGE OF NINETEEN (19) YEARS AND I HAVE READ AND UNDER- STOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES. Signed this day of, 20. Signature of applicant Signature of witness Print name clearly Print name clearly THIS AGREEMENT MUST BE COMPLETED IN FULL, INITIALLED WHERE INDICATED, DATED, SIGNED AND WITNESSED PRIOR TO PARTICIPATING WITH UCC AND THE ACMG. Page 11 31/03/2003

13 THIS WAIVER FOR CLIMBING GYM INSTRUCTORS ONLY THE WAIVER FOR CLIMBING GYM INSTRUCTORS IS CURRENTLY BEING REVISED. PLEASE REQUEST A CURRENT WAIVER BY PHONE OR IF YOU ARE APPLYING FOR THE CLIMBING GYM INSTRUCTOR PROGRAM. THE NEW WAIVER WILL BE POSTED HERE WHEN IT IS READY. Page 12