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About Us
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Contact Us
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News
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Links
Cave Laws
Barbara Schomer Preserve Trip Organizer Permit Application
Permit Application for those requesting to organize a trip to Sarah Furnace Cave.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Address
*
City, State, Zip
*
Contact Person's Email
*
Cell Phone Number
*
Club Affiliation
NSS Member
*
Yes
No
NSS Number
MAKC Member
*
Yes
No
MAKC Number
Purpose of Trip
*
Proposed Trip Date
*
Estimated Time of Arrival
*
Call Out Time
*
Emergency Contact Name
*
First
Last
Contact Person's Phone
*
Contact Person's Email
*
Emergency Contact Other Information
Number of Participants (Minimum 4, Maximum 10) and Names
*
How many in the group have been to the Barbara Schomer Preserve before?
*
Equipment
*
Helmet
Primary light
Secondary light
Tertiary light
Gloves
Lug-soled boots
Coveralls
How many vehicles expected?
*
Any fees involved with this trip?
*
Yes
No
Has the trip organizer read and understood the access guidelines, management plan, and agreed to comply?
*
Yes
No
MAKC asks trip organizers to make arrangements with an experienced Sarah Furnace Caver in order to explore this cave. While not all visitors on cave trips are required to be NSS members, trip organizers and leaders should be an experienced NSS caver or MAKC member.
*
--- Select Choice ---
Bert Ashbrook, 150-plus trips, Eastern PA
Trevor Cicchinelli, 30-plus trips, Western PA
Caitlin Clever, 15-plus trips, Wesern PA
Ed Epp, 25-plus trips, Ohio
Dave Field, 25-plus trips, central PA
Tom Griffin, 20-plus trips, Central PA
Curt Harler, 14-plus trips, Eastern OH
Chris Hill, 150-plus trips, Western PA
Jeff Jahn, 50-plus trips, VA
Dwight Kempf, 70-plus trips, Eastern PA
Tom Metzgar, 20-plus trips, Western PA
Johanna Neller, 35-plus trips, Central PA
Red Schock, 20-plus trips, Centeral PA
Aron Schmid, 15-plus trips, Western PA
Katie Schmid, 14-plus trips, Western PA
Sean Stone, 10-plus trips, Western PA
Eric Sutterlin, 12-plus trips, Minnesota
Frank Vlchek, 60-plus trips, NE Ohio
This is a Legal Agreement—Read Before Signing. I would like to organize a caving trip to Sarah Furnace Cave on the Barbara Schomer Preserve of the MAKC. Other trip participants will accompany me, no more than ten.
*
Yes
No
Risk of Harm. I acknowledge that caving is inherently dangerous. I understand that among the risks of harm from caving and the trip is injury, disease or even death that can result from (for example) rockfall or ceiling collapse (whether in natural cave passages or in mined areas of a cave, slips, falls, uneven floors or pits, lack of light, becoming lost or stuck or trapped, drowning, hypothermia, bad air, contact with wild animals (for example, bears and bats), equipment failure and failures to rescue, and from my or others' actions or inactions.
*
Yes
No
Assumption of Risk. I assume all risk of any harm (including injury, disease, or even death) that I may suffer in connection with the trip.
*
Yes
No
Liability Release and Waiver. I forever release and waive all legal claims against each caver in connection with the trip, even if the caver was negligent.
*
Yes
No
Promise Not to Sue. I promise not to sue a caver and the MAKC in connection with anything that happens during this trip.
*
Yes
No
Indemnity and Defense. I promise to indemnify, defend, and hold harmless any caver and the MAKC for liability or expense related to any harm (including injury, disease, or even death) that I may suffer in connection with the trip.
*
Yes
No
Duration, Successors, Choice of Law, Forum. This agreement does not expire. It applies to my successors, heirs and assigns and benefits, MAKC, cavers' successors, heirs and assigns. Pennsylvania law governs (except its choice of law rules). Pennsylvania courts have exclusive jurisdiction in any dispute relating to the trip or this agreement.
*
Yes
No
I have carefully read this agreement. I am voluntarily agreeing to it, and I intend to be legally bound.
*
Yes
No
Typing my name below constitutes my legal and binding signature.
*
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