IMPORTANT MEDICAL ALERT

PLEASE READ CAREFULLY, FOLLOW UP AS NECESSARY, AND SIGN AND RETURN THE FORM WITH YOUR APPLICATION FOR TELESCOPE TIME.

The PPARC's telescopes in Hawaii are located on Mauna Kea at an altitude of approximately 14,000 feet. Ascent to this altitude exposes you to a reduction in atmospheric pressure, which can result in a variety of medical conditions. In certain cases, severe illness or even death can result.

Visitors to the telescopes may suffer headache, tiredness, irritability, anorexia, insomnia, reduced intellectual capacity, impaired exercise tolerance and possible vomiting. It is also possible to develop one of the more serious mountain sickness of pulmonary or cerebral oedema, both of which can be fatal.

The altitude may also aggravate pre-existing disease, particularly cardiovascular and respiratory diseases.

PPARC strongly recommends that you bring the above information to the attention of your medical practitioner and seek appropriate medical advice and clearance.

This warning is given freely without any legal obligation. The PPARC does not undertake a duty properly to warn or otherwise to relinquish its rights, immunities, or other protections under Hawaii Revised Statutes, Chapter 520.

No visitors under the age of 16 are permitted.

THE PPARC DOES NOT ACCEPT ANY LIABILITY FOR VISITORS TO MAUNA KEA IN RESPECT OF THE POTENTIAL ADVERSE EFFECTS OF ALTITUDE. IF YOU INTEND TO VISIT THE TELESCOPES RUN BY THE PPARC ON MAUNA KEA, YOU ARE REQUIRED TO SIGN THE DECLARATION BELOW. YOU ASSUME ALL RISKS.

I have read and understood the medical alert provided by the PPARC above, concerning the potential harmful effects of altitude. I have been recommended to seek appropriate medical advice.

I accept that the PPARC shall not be held responsible for any adverse effects arising from exposure to high altitude.

Print Name & Address:................................................................................................

................................................................................................................................................

Signed:.................................................................................... Date:................................

(Parent or Legal Guardian if Under Age 18)

SP349L

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