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FRIDAY NIGHT FISHING


ASSUMPTION OF RISK AND RELEASE OF LIABILITY & COVID-19 QUESTIONNAIRE


Notice: This release form is a contract with legal consequences. Please read carefully before signing.

Prior to using Anacostia Riverkeeper (ARK) and/or Earth Conservation Corps (ECC) boats, equipment, and/or facilities, or otherwise engaging in activities organized by ARK and/or ECC, I hereby freely and voluntarily agree to the following representations, waivers, and agreements.

I know and understand that boating, fishing, picking up trash, sorting trash, and monitoring water quality are activities that entail both known and unanticipated risks that could result in personal injury, property damage, and death. I agree to assume these risks and release and forever discharge Anacostia Riverkeeper, Earth Conservation Corps, their Officers, Board of Directors, Employees, and Agents, and all vessels and facilities owned and/or operated by Anacostia Riverkeeper, Anacostia Watershed Society, and Earth Conservation Corps (hereinafter “Released Parties”) from any and all liability, damages, claims, or causes of action, arising out of or in any way connected with participation in activities sponsored by the Released Parties, and to indemnify and hold forever - harmless the Released Parties from liability, damages, claims, or causes of action or brought by myself or by anyone on my behalf as a result of, or in any way connected with, my participation in boat tours, fishing, trash cleanups, or any other activity by/with the Released Parties.

I agree for myself, and for the members of my family participating, to the following:

1. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by the Released Parties or the employees, representatives or agents of the Released Parties, including wearing protective gear thus prescribed.

2. I recognize that there are certain inherent risks associated with the above-described activity, attest that I and my family are physically capable of performing the activity, and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge the Released Parties for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of the Released Parties, whether caused by the fault of myself, my family, the Released Parties, or other third parties.

3. I agree to indemnify and defend the Released Parties against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of the Released Parties

4. I agree to be photographed and recorded on video by the Released Parties, and/or their agents.  I understand that these images and footage will be used in an appropriate and respectful manner. I confirm that these images and footage were taken with my knowledge and consent.

5. Any legal or equitable claim that may arise from participation in the above shall be resolved under District of Columbia law.

6. I acknowledge that COVID continues to be a potential health threat and I agree to follow all local laws and regulations, as well as the policies of the Released Parties, pertinent to slowing the spread of COVID infections. I agree to notify ARK by email at info@anacostiariverkeeper.org or by phone at (202) 863-0158 within 24 hours of a positive test if I test positive for COVID-19 within 14 days following the event, so that other participants can be notified of possible exposure.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

 












First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

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First Participant's Signature*
Second Participant's Name

First Name*

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

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Third Participant's Name

First Name*

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

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Fourth Participant's Name

First Name*

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

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Fifth Participant's Name

First Name*

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

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Sixth Participant's Name

First Name*

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

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Seventh Participant's Name

First Name*

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

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Eighth Participant's Name

First Name*

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

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Ninth Participant's Name

First Name*

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

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Tenth Participant's Name

First Name*

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

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Parent or Guardian's Email Address

Email*

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
COVID-19 Questionnaire
If you answer yes to any of the following questions, please do not attend this event. *
Yes, I understand.
Have you or anyone you are completing this waiver on behalf of come in contact with anyone known to have COVID-19 within the last 14 days?*
No
Yes
Have you or anyone you are completing this waiver on the behalf of had any COVID-like symptoms in the past 14 days?*
No
Yes
Have you or anyone you are completing this waiver on behalf of had COVID-19 within the last 14 days?*
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Please provide your zip code to better help us understand our impact and reach.
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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