FRIENDS OF THE WISSAHICKON Volunteer Agreement and Release

Starting June 2020, in order to volunteer with Friends of the Wissahickon, the below form must be completed and submitted, even if you have previously completed a similar agreement and release.

FOW Member?*
Over 18 Years of Age?*

Please provide a name and phone number of someone to contact in the event of an injury or emergency.

ACKNOWLEDGMENT OF RISKS, ASSUMPTION OF RISK AND RESPONSIBILITY, RELEASE OF LIABILITY

For and in consideration of working on Friends of the Wissahickon trails projects or other projects and associating with other members of the Friends of the Wissahickon, other volunteers and possibly staff of Philadelphia Parks and Recreation on such projects, I hereby acknowledge the risks described below, assume the risks and accept responsibility for them and, intending to be legally bound, enter into the following release of liability WARNING: There are significant elements of risk in any outdoor activity in the Fairmount Park and associated with working on projects in the park, including working with others or by myself on trails, tree planting, building structures or other work activities (referred to herein as “activity”) and the use of any equipment, whether owned by the Friends of the Wissahickon or others, in connection therewith, including particularly operating and working with and around the John Deere wheeled vehicle known as the Gator, and with and around its electric winch, or with and around chain saws or other power tools operated by me or others. ACKNOWLEDGMENT OF RISKS: I recognize that there is an inherent risk of danger in this type of activity. These risks may result in serious injury or death and include but are not limited to 1) equipment failure; 2) failure to operate the equipment carefully; 3) failure to appreciate the risks of operating the equipment or the activity; 4) my own physical coordination, sense of balance, decision making, or ability to follow safety precautions; or 5) failure of others to operate the equipment carefully. I also acknowledge that certain foreseeable and unforeseeable events can contribute to the unpredictability of the activity and also that personal property may be damaged or lost. I hereby acknowledge that I have been provided with and have read the safety manual pertaining to the operation of the Gator or will have done so prior to operating the Gator or any part thereof, including the winch. EXPRESS ASSUMPTION OF RISK AND RESPONSIBILITY: In recognition of the inherent risks of any activity which I and any minor children for which I am responsible will engage in, I confirm that I am (we are) physically and mentally capable of participating in the activity and/or using equipment. I/we participate willingly and voluntarily and I assume full responsibility for personal injury, accidents or illness (including death), and any expenses as a result of my negligence or the negligence of any minor children for which I am responsible. I also assume responsibility for damage to or loss of personal property as the result of any accident that may occur. I also assume the risk for accident or injury to myself caused by the negligence of others working or participating in the activity whether such negligence is comparative or contributory. I assume the risk(s) of personal injury, accidents and/or illness, including but not limited to sprains, torn muscles and/or ligaments, fractured or broken bones, eye damage, cuts, wounds, scrapes, abrasions, and/or spinal injuries, animal bite or attack, insect bite or allergic reaction, shock, paralysis, drowning, and/or death, and acknowledge that during the activity I/we may experience fatigue, chill and/or dizziness which may diminish my/our reaction time and increase the risk of an accident. AUTHORIZATION: I hereby authorize any medical treatment deemed necessary in the event of any injury or illness I incur while participating in the activity. I either have appropriate insurance or, in its absence, agree to pay all costs of rescue and/or medical services as may be incurred on my/our behalf. RELEASE: In consideration of services or property provided, I, for myself and any minor children for which I am parent, legal guardian or otherwise responsible, any heirs, personal representatives or assigns, do hereby release: The Friends of the Wissahickon.

PHOTO RELEASE

I do hereby consent and agree that Friends of the Wissahickon, its employees, or agents have the right to take photographs, videotape, or digital recordings of me to use in any and all media, now or hereafter known, and exclusively for the purpose of promoting the mission of Friends of the Wissahickon. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. I do hereby release to Friends of the Wissahickon, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback. I also understand that Friends of the Wissahickon is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

I AGREE TO THE ABOVE PHOTO RELEASE STATEMENT.*