Loading...

LIABILITY RELEASE AND ACKNOWLEDGMENT OF RISK

COVID TRAIL WORK WAIVER

Sandy Ridge 11/14/2020

Northwest Trail Alliance (hereinafter NWTA) is doing everything we can to facilitate a safe return to trail activities and to protect the safety and health of the public as well as our volunteers.  To this end we will be following guidance from the Center for Disease Control (CDC) as well as other local volunteer organizations and local land management agencies with regards to enhanced safety protocols and social distancing guidelines.  Details on those protocols are included below.

BY SIGNING THIS FORM YOU ARE RELEASING NWTA AND LAND MANAGERS FROM ANY AND ALL LIABILITY IN THE EVENT YOU ARE INJURED OR KILLED WHILE PARTICIPATING IN ANY PROJECT SPONSORED BY NWTA, AS WELL AS FOR ANY POTENTIAL EXPOSURE TO AN ILLNESS OR DISEASE, INCLUDING, BUT NOT LIMITED TO, NOVEL CORONAVIRUS OR COVID-19.

I wish to participate in projects sponsored by NWTA and I hereby acknowledge that said organization is doing everything they can to protect the public as well as myself as a volunteer.  To this extent I agree to follow NWTA’s procedures for social distancing and enhanced safety protocols to reduce the spread of COVID-19.  By signing below, I agree to comply with the written instructions included below.  Failure to comply with these written instructions or verbal instructions from crew leaders may result in my volunteer privileges being removed and I may be asked to leave the premises.

In consideration of my being allowed to participate in activities sponsored and organized by NWTA, I HEREBY WAIVE ANY AND ALL CLAIMS AGAINST NWTA; including its officers and directors, event leaders, members, and agents; arising out of my participation in such events.  I intend that this waiver also be binding on, and prohibit claims by, my heirs, executors and administrators.  I recognize and understand that volunteer events are inherently dangerous and involve some risk, that accidents occasionally occur during such events, and that as a participant in such events I might sustain property damage, personal injury, and/or death.  I FREELY AND VOLUNTARILY AGREE TO ASSUME SUCH RISKS AND HOLD NWTA HARMLESS, which through its participation, negligence or carelessness might otherwise be liable to me for damages. 

I understand that many rides and trail work are outside of cell phone coverage, and that event leaders may be neither professional guides, nor bicycle mechanics, nor possess any medical training, but are acting only in the capacity of coordinating trail work and rides for the voluntary participation of participants.  I further understand that the decision of how and when and whether to proceed is solely up to me and I am under no obligation to follow instructions from anyone if I believe it is unsafe to do so, including suggestions as to which routes to take.  Routes taken during NWTA rides or trail work may be dangerous and no representation is made that any ride is in any way certified as safe.

MINORS

The undersigned parent/natural guardian does hereby represent that he/she is in fact acting in such capacity, that they are freely and voluntarily allowing their minor child to participate in this event organized by Northwest Trail Alliance (hereinafter NWTA). 

In consideration of the minor being allowed to participate in activities sponsored and organized by NWTA the undersigned waives any and all claims against the organizers; including its officers and directors, event leaders, members, and agents; arising out participation in such events. The undersigned intends that this waiver also be binding on, and prohibit claims by, heirs, executors and administrators. The undersigned recognizes and understands that trail building events involve some risk, that accidents occasionally occur during such events, and that as a participant in such events the participant might sustain property damage, personal injury, and/or death. The undersigned agrees to freely and voluntarily assume such risks and hold the organizers NWTA harmless, which through its participation, negligence or carelessness might otherwise be liable for damages. Undersigned also agrees and authorizes NWTA, in its sole discretion, to use any photographs, audio, and/or video recordings of participant taken during the activity for promotional purposes in any manner deemed appropriate by NWTA, and hereby waives any and all claims thereto, including, but limited to, any claim for compensation. 

NWTA COVID Trail Work Waiver Contents – Phase 1

Pre-Screening of Participants - Any participant that answers “Yes” to any of the following will not be allowed to participate:

Are you experiencing any of the following symptoms: Cough, shortness of breath or difficulty breathing?

Are you experiencing at least two of the following symptoms: Fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of smell or taste?

Is anyone in your household suspected or diagnosed with COVID-19?

All volunteers considered at higher risk should make their own decisions regarding whether or not to participate.  Vulnerable populations include: individuals 65 years and older, and/or have any of the following conditions including chronic lung disease or moderate to severe asthma, serious heart conditions, immunocompromised, severe obesity, diabetes, chronic kidney disease undergoing dialysis, and/or liver disease.

Face Coverings - Participants must bring and wear their own face covering which adheres to CDC Guidelines.  All volunteers will wear a face covering when working within 12’ of each other.

Social Distancing - Participants will travel in separate vehicles (unless from the same household) to and from events.  Volunteers must maintain at least 6’ of space between each other at all times.

Tool Usage & Sanitization – Please bring and use your own tools.  All NWTA supplied tools and equipment will be sanitized before and after trail work use by NWTA crew leads only.  Volunteers shall not share tools.

Signage & Passing Distance -  If a trail user approaches the crew, volunteers must step off trail to allow them to pass while maintaining a minimum 6’ of distance and while wearing their face covering.

Hygiene - Crews will be instructed on the importance of effective individual and group hygiene and provided with hand sanitizer.

“Sign-In and Safety Orientation” - All participants must sign this waiver form prior to the event. All volunteers will be required to participate in a safety protocol orientation the morning of the event.  Any participant who repeatedly does not follow the required safety guidance will be asked to leave.

 

Document Revision B (September 10th, 2020)

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
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*
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!