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MALAMA MAUNALUA
WAIVER RELEASE AGREEMENT

Today's Date: April 19, 2024

I ("Volunteer") agree to release, indemnify, and hold harmless Malama Maunalua as well as their respective affiliates, employees, agents, officers, directors, trustees, subcontractors, and partners against any and all costs, claims, causes of action, and liabilities which I or any other person may claim through me, for damages, expenses, injury, death, damage or destruction of property, or other losses which may arise from the inherent risks of participating in the activities today. This agreement is freely and voluntarily executed.


I attest that I understand all directions spoken to me by Malama Maunalua staff (hereafter 'Event Staff'), and everything written in this waiver and release. If I do not understand something, I will ask an Event Staff member to clarify whatever it is I do not understand until I do understand. I have read, understand, and agree to follow all of the beach rules, regulations, safety instructions, standard operating procedures, and all applicable Laws.


I am in good health and am not aware of any physical or medical condition that might endanger myself or other participants. I have notified the event coordinator of any special medication or condition he/she should be aware of. I have taken or will take all necessary and appropriate steps to ensure my personal health and endurance during today's activity, including getting enough rest and carrying enough food and water and any prescribed medications I may be taking. If I have any doubt as to my health & strength, I agree to personally inform the event staff at the event prior to taking part in any activity.


I understand that I may be photographed and/or videotaped during my work as a volunteer as part of Malama Maunalua's efforts to document its programs to further their conservation purposes. I give Malama Maunalua as well as their respective affiliates, employees, agents, officers, directors, trustees, subcontractors, and partners my permission to use my likeness in, but not limited to, print and electronic media such as newsletters, reports, media releases, websites and social media. Use shall be for non-profit, conservation purposes including conservation, education, and community outreach. I hereby waive any rights to inspect or approve the finished image. I also hereby waive any rights to financial or other compensation. All of the above also applies to all minor children accompanying me. 


I acknowledge and understand that during my volunteer service at this event today I may encounter certain inherent dangers and risks associated with my involvement in the above-referenced activity, including, but not limited to: variable waves and water conditions; sun exposure; stinging and biting insects and marine life. I may be using tools and equipment that can cause injury. I recognize and appreciate that my service today puts me in jeopardy of an inherent risk of personal injury from the above-mentioned risks and dangers, and I agree that I am participating of my own volition.



 

SAFETY FORM

Safety of our volunteers is all-important and takes precedence over all other aspects of our events. Please help us make the event as safe as possible by carefully reviewing and following these safety tips.

GENERAL SAFETY TIPS

  • PLEASE PAY SPECIAL ATTENTION TO SAFETY BRIEFINGS AND ASK EVENT STAFF TO ANSWER ANY QUESTIONS YOU MAY HAVE.
  • Be sure that you are physically capable of what you intend to do before you attempt it; always ask for help if you need it.
  • Plan for the weather with layers of clothing, sunscreen, rain gear, etc.
  • Wear gloves and sturdy tabis/reef walkers/ water shoes.
  • Work with a partner and watch out for each other's safety.
  • Watch out for other volunteers' safety, especially when working close together.
  • Pace yourself, don't overexert.
  • Take breaks, rest, don't work continually. Drink water, eat a snack.
  • Follow common sense practices when lifting heavy items: use your knees, not your back.
  • Watch for any boats, ropes or equipment that might be on-site.
  • Watch for sharp objects, broken glass, stinging animals or other hazards in the water or on the beach.
  • Leave the site if hazardous conditions, such as disturbed bee hives exist, especially if you have an allergy or are otherwise susceptible to the conditions.
  • Use sunscreen and mosquito repellant when outdoors
  • Wear a life jacket when using a boat or raft.
  • Know where the first aid kit is.
  • Know where the nearest medical facility is located.
  • Know where the nearest phone is. If it's a cell phone, make sure you have a dial tone.
  • Dial 9-1-1 if emergency medical care is required - know your location.

SAFETY TIPS FOR YOUTH VOLUNTEERS

  • Confirm age restrictions for the event.
  • Review safety information and "rules" with teacher or staff before arriving at the site.
  • Adults supervise youth activities at all times on site.

WHEN WORKING ON THE BEACH

  • Watch for sneaker/sleeper waves: never turn your back on the ocean.
  • Stay away from logs or trees in or near the surf.
  • When picking up algae, identify each item before you touch it. If you are uncertain about an item, leave it alone.
  • Do not touch medical waste or hazardous materials, including syringe needles, bandages, and condoms.
  • Don't touch containers with unidentified liquid or material in them.
  • Stay on the public beach, do not enter private property.

My signature indicates that I have reviewed the appropriate safety information on this page and agree to follow the safety tips listed here, as well as those provided to me at the event site.


 

ASSUMPTION OF THE RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT RELATING TO CORONAVIRUS/COVID-19

The severe acute respiratory syndrome coronavirus 2, SAR-CoV-2 (“coronavirus”), causes the illness COVID-19 which has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely dangerous and the coronavirus is extremely contagious and believed to be spread from person-to-person contact. As a result, federal, state and local governments and health agencies recommend established guidelines to reduce the risk of spreading the coronavirus.

These include requiring social distancing and, in many locations, prohibiting the congregation of large groups of people. These guidelines are for the safety of the public and should be followed. Notwithstanding recommendations and guidelines by these entities, it must be understood that the coronavirus and COVID-19 are continuing threats to the health and lives of the citizens of Hawai‘i.

Malama Maunalua as well as their respective affiliates, employees, agents, officers, directors, trustees, subcontractors, and partners have put in place preventative measures to reduce the spread of COVID-19. However, it is understood that Malama Maunalua and affiliated organizations cannot guarantee that you or your child(ren) will not come into contact with or become infected by the coronavirus. Your mere physical presence at activities of Malama Maunalua and affiliated organizations could increase your risk and your child(ren)’s risk of becoming infected by the coronavirus and developing COVID-19.

By initialling this agreement, I (Parent/Guardian),




on behalf of myself and my minor child(ren) identified below, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and/or I may be exposed to or infected by the coronavirus by attending or participating in activities of Malama Maunalua as well as their respective affiliates and that such exposure may result in personal injury, illness, permanent disability or death. Notwithstanding the risk of infection, my minor child(ren) and I wish to voluntarily participate in activities offered by Malama Maunalua as well as their affiliated organizations.


First Volunteers Name

First Name*

Last Name*

Phone*
First Volunteers Date of Birth*
First Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
First Volunteers Signature*
Second Volunteers Name

First Name*

Last Name*
Second Volunteers Date of Birth*
Second Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Third Volunteers Name

First Name*

Last Name*
Third Volunteers Date of Birth*
Third Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Fourth Volunteers Name

First Name*

Last Name*
Fourth Volunteers Date of Birth*
Fourth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Fifth Volunteers Name

First Name*

Last Name*
Fifth Volunteers Date of Birth*
Fifth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Sixth Volunteers Name

First Name*

Last Name*
Sixth Volunteers Date of Birth*
Sixth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Seventh Volunteers Name

First Name*

Last Name*
Seventh Volunteers Date of Birth*
Seventh Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Eighth Volunteers Name

First Name*

Last Name*
Eighth Volunteers Date of Birth*
Eighth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Ninth Volunteers Name

First Name*

Last Name*
Ninth Volunteers Date of Birth*
Ninth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Tenth Volunteers Name

First Name*

Last Name*
Tenth Volunteers Date of Birth*
Tenth Volunteers Information
Are you of Native Hawaiian ancestry?*
No
Yes
Volunteers Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Date of Huki/Event you are participating in:

Date *
Participating in Mālama Hawai‘i?
If you will answer "yes" to the question above, please visit https://www.hvcb.org/malama-hawaii-survey/ *
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Are you of Native Hawaiian ancestry?*
No
Yes
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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