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Sips 'n' Science: Fungi in the Forest
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Sips 'n' Science: How to Beaver
Sips 'n' Science: Paleoecology
Sips 'n' Science: History of Fire
Sips 'n' Science: Kalapuya History
Sips 'n' Science: Splash-Damming
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Home
Coho in Waymire Creek
LWC Newsletter
Like Chocolate for Water Recipes
Native Plant of the Month
Emerald Ash Borer
Resources
Plant ID Primer
Willamette Valley Fungi
Native Plant Resources
Native Plants for Fire Resiliency
Reducing Fire Risk Through Invasive Tree Removal
Be a Great Watershed Steward!
Purchase "Writing Our Watershed" Book
LWC Info & Resources
Community Science
Willamette Report Card
FAQs
Watershed Health
Web Resources
Members Only (Log-In Required)
About
Our Council
Our Team
Become a Member
Equity Diversity and Inclusion
Our Watershed
History of our Watershed
Outdoor Recreation
Our Partners
Strategic Plan 2019
LWC Annual Reports
Monthly Meeting Details
Board Meeting Minutes
LWC in the News
NOAA Fish Passage News
LWC Photo Contest Winners
Projects
Herbicide Use
Mid-Willamette Beaver Partnership
Ash Creek Restoration Project
Luckiamute State Natural Area Enhancement
Visiting LSNA
LSNA Reconnection
LSNA Reconnection Documents
LSNA Phase 5 Update
Upper Luckiamute Focus Area
NetMap
Upper Luckiamute Mainstem
South Fork Pedee Enhancement
Coho Return to Pedee!
Upper Price Creek Restoration Project
Upper Maxfield Creek
Maxfield Creek Restoration
Upper Ritner Project
Upper Luckiamute Side Channel Reconnection Project
Knotweed Control
Knotweed Resources
J2E River to Ridge Diversity Project
Water Quality Monitoring
eDNA Monitoring
Get Involved
Employment
Donate
Sign up for Emails!
Update Your Contact Info
Friends of the LWC
BTS Past Issues
BTS June 2024
Business Circle
Join the Business Circle!
Volunteer
Friends of Gentle Woods Park
FoGW Email Sign-up
Adopt A Road
Volunteer Pledge
Volunteer Interest Form
Join our EnO Committee!
Join our Fundraising Committee!
Become a Member
Events
Smithfield Oaks Cultural Burn
Traditional Ecological Knowledge Video Series
LSNA Self-Guided Tour
Virtual Event Library
Sips 'n' Science: Fungi in the Forest
Sips 'n' Science: Secrets of the River
Sips 'n' Science: Managing Vegetation for Beaver
Sips 'n' Science: Smokey the Beaver
Sips 'n' Science: How to Beaver
Sips 'n' Science: Paleoecology
Sips 'n' Science: History of Fire
Sips 'n' Science: Kalapuya History
Sips 'n' Science: Splash-Damming
Stay at Home Activities
Community Science
Identify Your Watershed
Plant ID Apps
Educational Films
Event Archives
Donate
Donate to the LWC
LWC Wish List
Join the Business Circle!
Join the Legacy Circle
Bequest Intention Form
Giving in Retirement
Donor Tiers
Donate to the Love Your Watershed Program!
How to Change Recurring Donation Information
LWC Store
Writing Our Watershed Book
Prefer to print out the Liability Waiver and bring it with you?
Click here to download a pdf version
.
Assumption of Risk and Waiver of Liability
Pollinators & Plants at Illahe Vineyards
Saturday, July 1 @ 10am - 12pm
Assumption of Risk and Waiver of Liability
I, the undersigned, enter this Assumption of Risk and Waiver of Liability 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, Polk Soil & Water Conservation District and Illahe Vineyards
(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 a Pollinators & Plants Event on Illahe Vineyards property, located at 3275 Ballard Rd, Dallas, OR 97338. This event will involve being outdoors and walking along rough and uneven ground through a working vineyard operation, as well as netting and identifying bees, wasps, and other insects which may sting or bite, potentially causing an allergic response in some individuals.
I agree that my participation in this Event is completely voluntary and I have neither received nor expect to receive any compensation for my participation in it.
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 participate in 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 indicate that you understand and agree to the terms and conditions written above by filling out your name and today's date:
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*
First
Last
Today's Date
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In case of an emergency, please contact:
Emergency Contact Name
*
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Emergency Contact Phone Number
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I Agree
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