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Thank you for signing up to join our Monmouth Public Works planting event on February 29!
Please read the waiver language below, and fill out the bottom portion to indicate you accept its terms and conditions.
Monmouth Public Works Planting Event Waiver
2020 Volunteer Waiver and Release
February 29, 2020
This is a waiver and release. Please read it carefully before signing. I, the undersigned, enter this Release and Waiver of liability and Assumption of Risk Agreement (Agreement) on behalf of myself, my personal representatives, next of kin, heirs, successors, and assigns.
I hereby freely, voluntarily, and without duress execute this Agreement under the following terms:
I make this Agreement for the benefit of the Luckiamute Watershed Council and the City of Monmouth (collectively the Released Parties), including, without limitation, the Released Parties employees, agents, personal representatives, next of kin, heirs, successors and assigns.
I make this Agreement in consideration of the Released Parties providing me with the opportunity to participate in the
Ash Creek Volunteer Planting and Deer Fencing
(Event) at Monmouth Public Works Department grounds.
I understand that the Event may include dangerous or hazardous activities and that the Event may take place on a location or under conditions that may be dangerous to me.
I accept full personal responsibility for all risks arising from or relating to this Event.
I agree to read, listen to and follow all safety instructions and procedures presented in conjunction with this Event and to use my best judgment based upon my physical and mental abilities at all times, and to immediately terminate participation in this Event if activities become too strenuous, difficult or hazardous for me.
I agree that the activities necessary to complete the Event have been fully and adequately explained to me and that I am physically and mentally capable of participating in the Event without injuring myself in any manner.
I agree to waive all liability of the Released Parties, discharge them, and covenant not to sue them for any liability, claims, sums, costs, or other expenses on my account that may be caused in whole or in part by my participation in the Event.
I agree that this Agreement shall act as a complete bar against all actions or claims that I might otherwise bring against the Released Parties, including negligence claims, arising from or related to this Event.
I have read this Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature. I intend this Agreement to be a complete and unconditional release of all liability to the greatest extent allowed by law, and I further agree that if any portion of this Agreement is held invalid, then the balance of the Agreement shall continue in full force and effect.
I understand that a photographer may be present to photograph the activities at the Event and that I may be photographed while participating in the Event. I agree that I will contact the photographer if I do not wish to be photographed. I hereby grant the Released Parties the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included. I hereby release Photographer and his/her legal representatives and assigns and the Released Parties from all claims and liability relating to any such photographs.
Please check the box below if you agree to the terms outlined above
By checking here, I acknowledge that I have read this Agreement and fully understand and accept its terms.
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Printed Name of Participant
Luckiamute Watershed Council •
Your Land. Your Rivers. Your Community. Your Watershed.