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Urban Greening for Clean Water Tree Planting & Education Events Safety Acknowledgement and Waiver



General Liability Release

By completing the registration form below, I hereby waive all claims at any time and all claims that might otherwise be made by, or on behalf of, or on account of me, or by any person or entity in any way as my subrogee against California Urban Forests Council (CaUFC) and partnering organizations, their officers, directors, employees, agents, partners, members, guests, commissioners, supervisors, invitees, and any person who would be lawfully entitled to indemnification from any of them for liability to, or on behalf of, or on account of the signer, for any injuries or damages of any kinds whatsoever arising on account of, or in consequence of, my activities in the workshop or participation in the workshop and/or tree planting or in any way related to the tree planting. I further agree to hold all parties safe and harmless from any expense for defense, settlement, payment of damages, or other expenses relating in any way to injuries sustained by me in any way related to the or the UGCW (PROP 1 GRANT) tree planting event. I recognize and assume all risks and dangers involved in my participation and will not under any circumstances rely upon the care, attention, or assurances of anyone other than myself for matters relating to my safety.

 

Media Waiver

I authorize California Urban Forests Council (CaUFC) and Partners, event sponsors, and partnering cities permission to take photographs or videos of me that may be used and published in either print or electronic media. I authorize the above-named organizations, companies, event sponsors, or cities to provide event photos, videos, or electronic media (including social media) that may include my image to commercial entities for use in promoting their participation and support of the event(s). I authorize CaUFC and partnering organizations, event sponsors, and participating cities to publish their name(s) for any lawful purposes such as publicity materials, media releases, social media, and advertising.

 

COVID-19 Safety Information

Face coverings must be worn at all times, and “social distancing” must be practiced to reduce the risk of COVID-19 while participating in events held under the UGCW (PROP 1 GRANT). However, the UGCW (PROP 1 GRANT) program cannot guarantee that its participants, volunteers, partners, or others in attendance will not become infected with COVID-19.

Individuals who fall within the categories below should NOT attend UGCW (PROP 1 GRANT) program events. By attending this event, you certify that you do not fall into any of the following categories:

  1. Individuals who currently or within the past (14) days have experienced any symptoms associated, which include fever, cough, and shortness of breath, among others. Please visit the CDC webpage for a list of SYMPTOMS.
  2. Individuals who have traveled at any point in the last fourteen (14) days either internationally or to a community in the US that has experienced or is experiencing sustained community spread of COVID-19; or
  3. Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatments. 


*The UGCW (PROP 1 GRANT) program will abide by local CDC, state, and local guidelines for any changes related to COVID-19 restrictions and protocols. 


 

Duty to Self-Monitor

Participants and volunteers agree to self-monitor for signs and symptoms of COVID-19 and contact UGCW (PROP 1 GRANT) Project Coordinators (grantteam@wcainc.com) if they experience symptoms of COVID-19 within 14 days after participating or volunteering with CaUFC.

 

Acknowledgment and Assumption of Risk

I acknowledge that I am willingly engaging in this event (the “Arbor Day”). I acknowledge and understand the following:

  1. Participation includes possible exposure to infectious diseases such as COVID-19. While CaUFC has rules in place to reduce the risk, the risk still exists.
  2. I knowingly assume all such risks, even if arising out of negligence or fault of the CaUFC and its partners.
  3. I hereby knowingly assume the risk of injury, harm, and loss associated with Arbor Day, including any injury, harm, and loss caused by negligence, fault, or conduct of any kind on the part of the Partners.

By signing below, I agree to all terms and conditions, waivers, and releases included on this webpage and pertaining to this UGCW (PROP 1 GRANT).

First Volunteer's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Volunteer's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check this box to stay informed of other volunteer opportunities with us.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Volunteer's 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(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*

Relationship*

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.


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