Habitat Enhancement Leach Botanical Garden WAIVER

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First Name

Last Name

Mobile Phone

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Are any other volunteers coming with you? Please fill out a separate form for each person coming, if so.

No, it's just me!There are others coming with me. If they are under 18 under my supervision, I will fill out another form for them. If they are over 18, I will invite them to sign this wavier by copying and pasting the URL for this form.

If you are under 18 and planning to come without a parent/guardian, you can't sign this form. Please have your parent/guardian sign for you, and make sure to have their phone number included in the box above. Our team will reach out to your parent/guardian to verify that they have given their permission for you to attend without them.

This is OK with me. I will have my parent/guardian sign.This is not OK with me. I will not attend the event.

Please note: Oregon Health Authority may use your information to contact you if someone who attends this event tests positive for COVID-19.

My name below acknowledges that I have read this waiver and hereby agree:

In connection with my voluntary involvement in activities undertaken for, and with the participation and support of the Johnson Creek Watershed Council, a non-profit organization, Leach Botanical Garden, I hereby agree, for myself, my heirs, assigns, executors, and administrators to release and discharge the Johnson Creek Watershed Council, Leach Botanical Garden, other project sponsors, their members, officers and directors, employees, agents, volunteers, sponsors and landowners from all claims, demands, and actions for injuries sustained to my person and/or property as a result of my involvement in such activities, whether or not resulting from negligence, and I agree to release and hold the Johnson Creek Watershed Council, Leach Botanical Garden, other project sponsors, their officers and directors, employees, agents volunteers, sponsors and landowners harmless from any cause of action, claim, or suit arising there from. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release.
I hereby grant Johnson Creek Watershed Council, and Leach Botanical Garden, the irrevocable right to use forever any film, video tape, audio tape, photographs, slides, or combination thereof, for inclusion in any promotional or advertising purposes and I agree to appear without pay. If I do not want to be photographed, I will inform staff and they will try to accommodate my wishes.
I hereby agree to use good judgment based on my physical ability and to immediately terminate my participation in the project if activities become too strenuous or difficult; I am physically and mentally fit and able to participate in this project.

Checking the box and typing my name below acknowledges that I have read this waiver and hereby agree.

I agree.

Waiver Signature (type full name)

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