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RELEASE FORM FOR ENTRANCE ONTO THE BALLONA WETLANDS

In consideration of your participating in a tour, volunteer activity and/or otherwise visiting all or part of the fresh water marsh, salt marsh and dunes area generally known as the Ballona Wetlands and their surrounds (the “Property”), and by signing this agreement, you confirm each of the following conditions:

1. You hereby assume all risks associated with your activities at the Property. Accordingly, you release the State of California, Friends of Ballona Wetlands, any grant providers and project funding entities, any invitees of the State of California which may be responsible for the conditions of the Property, and any and all of their respective officers, directors, employees, agents, members, shareholders, contractors, subcontractors and consultants (“Released Parties”) from any and all liability. You acknowledge that the Property may include areas that are slippery or have uneven surfaces. You agree to take all necessary precautions while on or about the Property to avoid injury to yourself or others. You acknowledge that you are physically able to undertake the activities contemplated on the Property.

2. You hereby release the Released Parties from any and all liability, claims, causes of action, damage, loss, casualty, expense, or similar items you may suffer or incur while on the Property. By signing this letter, you hereby exempt and release all Released Parties from all liability or responsibility whatsoever for personal injury, property damage, or wrongful death, however caused, including negligence of the Released Parties, whether passive or active.

3. You hereby agree to indemnify and hold the Released Parties harmless in all respects from any and all claims, causes of action, judgments, costs, expenses, attorney’s fees, and liabilities, whatsoever, arising in any way in connection with your activities at the Property.

4. You hereby grant Friends of Ballona Wetlands and its authorized representatives permission to record through still or digital photography and/or video, pictures, videos and/or other media of your participation or, (in the event that your child is the participant), your child’s participation, in the tour/volunteer activity carried out on the Property. You agree that any or all of the materials captured on video and/or photographed may be used, in any form, as part of any future publications, newsletter, website or other printed or digital materials used to promote the Property, and further that such use shall be without payment of fees, royalties, special credit or other compensation to you.

The above is agreed to from this date of December 18, 2024 through December 31st, 2025.

IMPORTANT: Minors (under age 18) must have a parent or guardian signature below.

 

Friends of Ballona Wetlands • PO Box 5159, Playa del Rey, CA 90296

(310) 306-5994 • info@ballonafriends.org • www.ballonafriends.org





First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
First Participant's Signature*
Second Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Third Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Fourth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Fifth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Sixth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Seventh Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Eighth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Ninth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Tenth Participant's Name

First Name*

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

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to sign up for our e-newsletter.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Group Name, if applicable (Example: Scout Troop ###)

Zip Code: *
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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