Friends of the Rappahannock -

Big Fall Cleanup Waiver

I understand and agree that Friends of the Rappahannock (“FOR”) Volunteer/Participant activities are entirely voluntary on my part and may involve potentially strenuous and hazardous activities and there are risks of accidents arising out of these activities. I have no expectation of compensation for these activities. I acknowledge that I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected. I expressly assume all risks of injury, bodily harm or property damage arising out of my activities with FOR.

I further acknowledge that I am responsible for my own insurance coverage and FOR has no liability or responsibility to me for any medical, health or other benefits or compensation.

I release and forever discharge FOR, its successors and assigns, employees, officers, directors and agents, and any sponsoring organizations from any and all claims, liabilities and demands of any kind or nature, in law or equity, arising out of my activities with FOR, including any claims for bodily injury, death, illness or property damage occurring while engaged in my activities with FOR, even if caused by the negligence or reckless conduct of a FOR employee or Volunteer/Participant. I further agree to indemnify and hold harmless FOR, its successors and assigns, employees, officers, directors and agents, and any sponsoring organizations in connection with any of the foregoing.

In case of emergency or accident, I give permission for any first aid treatment or other medical services rendered on my behalf, and release FOR from any and all liability in connection with any medical services. I agree to be the responsible party for all medical expenses incurred on my behalf.

I agree to grant FOR the right and unrestricted permission concerning any photographs that FOR has taken or may take of me or in which I may be included with others, to use, reuse, publish, and republish the photographs in whole or in part, individually or in connection with other material, in any and all media now or hereafter known, including the internet, and for any purpose whatsoever, without restriction as to alteration; and to use my name in connection with any use if FOR so chooses. I grant FOR all right, title and interest in any photographs, images, video or other media recordings taken by me or of me or my likeness or voice in connection with my activities with FOR. I release and discharge FOR from any and all claims and demands that may arise out of or in connection with the use of the photographs, including without limitation any and all claims for libel or violation of any right of publicity or privacy.

(Only required if participant in under 18 years old)

(If participant is under 18 years old, please input parent/guardian phone number)

(If participant is under 18 years old, please input parent/guardian phone number)

Please only complete multi-person waiver with individuals living in your household.

This should be someone who is not in attendance with you.