Volunteer Registration

Please select the date(s) and time(s) you are available to volunteer: *

March 6 (Thursday) - 1:00PM - 3:00PM

Name *

For liability purposes, please fill out a seperate registration form for EACH PERSON that will be attending.

First Name

Last Name

Phone *

(###)

###

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Name of Emergency Contact or Parent/Legal Guardian if Participant is under 18 *

First Name

Last Name

Phone for Emergency Contact or Parent/Legal Guardian if Participant is under 18 *

(###)

###

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Release of Liability *

By checking the box below, I agree to indemnify and hold the landowners, Clallam Conservation District, its employees, its elected and appointed officials, any other third party involved with the event, and other event participants harmless from and against any liability, claim, injury, or costs arising from or resulting from my work as a volunteer and/or attendance at an education event. Furthermore, I acknowledge there are potential hazards associated with volunteer activities and/or participation at educational events and I agree to exercise common sense and follow all safety precautions to avoid accident and injury. I will contact the project leader(s) in case of an accident or if I observe safety hazards or violations.

I acknowledge I have read and agree to Clallam Conservation District’s Release of Liability as presented above.

Health Safety *

If indicating any of the following symptoms I will refrain from attending the event: Fever, chills, cough, shortness of breath, fatigue, muscle pain, headache, loss of taste or smell, sore throat, stuffy or runny nose, nausea, diarrhea and/or vomiting.

I acknowledge I have read and agree to Clallam Conservation District’s COVID-19 Safety protocol as presented above.

Photo Release *

I give my permission to have my photo or my child’s photo taken during this event and used for publicity purposes for hosts or sponsors.

Yes

No