Participant Liability and Consent

Participant Liability and Consent

This from must be completed before participating in our upcoming event.

Limitation of Liability

The Undersigned, on behalf of themselves and their estate, at this moment waives any right of recovery and releases the Mason Conservation District (DISTRICT) and Capitol Land Trust (CLT) from liability related to the Undersigned, arising from any injury to persons or property damage. The Undersigned further agrees to indemnify, hold harmless, and defend the DISTRICT and CLT from and against any claims, damages, actions, liability, and expenses, including attorney’s fees and other professional fees, in connection with bodily injury, including death, personal injury, and property damage arising from or out of the Undersigned’s activities and participation in volunteer services at the above project site.

The Undersigned further acknowledges and agrees that neither the DISTRICT nor CLT assumes any responsibility whatsoever for any property of the Undersigned, and the Undersigned shall not hold the DISTRICT or CLT liable for any loss or damage to such property.

For volunteers under the age of 18, this form must be signed by the parent or legal guardian of the minor volunteer participating in the project.

Participant Name*

Event

Select

Participant DOB*

Phone Number*

Street Address*

City*

Zip Code*

Date*

Signature of Participant*

Signature of Parent or Guardian

Photo Consent Form

I give my permission for myself and my child/children herein named, understanding that the pictures may be used for Mason Conservation District (DISTRICT) and Capitol Land Trust (CLT) publications and related publicity. I understand that neither my child/children nor I shall receive any compensation for such use of our photographs.

Please initial below.

Mason Conservation District and Capitol Land Trust may use:

My photograph for Mason Conservation District or Capitol Land Trust Publication and related publicity.

(Self Consent)

Send me a copy of my responses

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