Frazer Forest Stewardship Walk

Secrets of the Winter Woods: A Walk in Frazer Forest with EcoA

SIGN ME UP FOR:

Sat, Feb 8, 2020, 10am-12pm Stewardship Walk

Name*

First Name

Last Name

Email*

Home/ Cell Phone*

Date of Birth*

Volunteers ages 13-17 are welcome, but must be accompanied by a parent or guardian.

Emergency Contact*

First Name

Last Name

Home/ Cell Phone*

Emergency Contact info

Background Information

Do you have any special needs, health problems, or other considerations that might limit your ability to fulfill certain assignments? If so, please explain.*

In the past 5 years, have you been convicted of any crime other than minor traffic violations? If so, please explain. *

Additional Authorization

Personal Information Release Form*

Agree

The undersigned authorizes the Frazer Center and/or its associates, assistants, or subcontractors to photograph/film the subject. The undersigned authorizes the Frazer Center to use and/or display the subject’s image in publications, multimedia productions, displays, advertisements, or worldwide web publications promoting the programs and services of the Frazer Center. The undersigned agrees that this authorization not only includes the subject’s likeness but may also include the subject’s name and/or their biographical information, as supplied to the Frazer Center by the subject. The undersigned understands that no compensation is offered in exchange for the use of the subject’s image and/or the subject’s biographical information. The undersigned releases and discharges the Frazer Center, its officers, and employees from any and all past, present or future claims and demands arising out of or in connection with the use of said photograph, name or biographical information, including but not limited to, claims for invasion of privacy or defamation.

Liability Waiver*

Agree

As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I may sustain as a result of said participation. I do hereby fully release and forever discharge the Frazer Center from any and all claims for injuries, damages, or loss that I may have or which may accrue to me and arising out of, connected with, or in any way associated with my volunteer services.

Name*

First Name

Last Name