R2B adult waiver 2015 .pdf

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Original filename: R2B adult waiver_2015.pdf
Author: Kevin Klicman

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ADULT General Agreement Waiver and Release Form
ACTIVITY: Camp Marston Tree Planting Event on April 18, 2015
The undersigned voluntarily wishes to participate in Camp Marston Tree Planting Event on April 18, 2015, which is
a hazardous activity with the potential for death, serious injury, and property loss. The risks include, but are not
limited to; those caused by terrain, facilities, temperature, weather, condition of equipment, vehicular traffic,
negligent and non-negligent action of other people including, but not limited to participants, volunteers, officers, and
citizens. I hereby assume all of the risks of participating in the Camp Marston Tree Planting Event on April 18,
2015. I certify that I am physically able to participate in the Camp Marston Tree Planting Event on April 18, 2015
Program and have not been advised otherwise by a qualified medical person.
GENERAL AGREEMENT, WAIVER, AND RELEASE (Adults over 18)
In consideration for being permitted by Precision/Root2Branch to participate in the above activity, I hereby waive,
release, and discharge any and all claims for damages for personal injury, death, or property damage which I may
have or which may hereafter accrue, as a result, of my participation in said activity. This release is intended to
discharge, in advance, Precision/Root2Branch (its officers, employees and agents) from and against any and all
liability arising out of or connected in any way with my participation in said activity, even though that liability may
arise out of negligence or carelessness on the part of Precision/Root2Branch (its officers, employees or agents).
Knowing the risks involved, nevertheless, I have voluntarily applied to participate in said activity, and I hereby
agree to assume any and all risks of injury or death and to release and hold harmless Precision/Root2Branch (its
officers, employees and agents) who through negligence, carelessness, or any other act or omission might otherwise
be liable to me. I further understand and agree that this waiver, release, and assumption of risks are to be binding on
my heirs and assigns.
I further agree to indemnify and hold Precision/Root2Branch (its officers, employees, and agents) free and harmless
from any loss, liability, damage, cost, or expense, which they may incur as a result, of any injury and/or property
damage that I may sustain while participating in said activity.
I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS
CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MY SELF
AND PRECISION/ROOT2BRANCH AND I SIGN IT OF MY OWN FREE WILL.

I give Precision/Root2Branch permission to use my photo and/or likeness on the Precision/Root2Branch
websites, and/or for media purposes.
Initials
Volunteer Name (print legibly):

Date

Volunteer Signature:
Paige Fiddament
Precision/Root2Branch Community Liaison

Date


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