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ACKNOWLEDGMENT OF RISK, WAIVER OF LIABILITY, AND CONSENT TO USE IMAGE OR LIKENESS

I. Acknowledgment of Risk

I am 18 years of age or older, and I will be present at or participating in one or more events (co)sponsored by Wildcat Glades Friends Group (WGFG), a non-profit organization whose mission is to protect the area commonly referred to as “Wildcat Park” and the surrounding chert glade environment, habitat, and wildlife by promoting awareness and sustainability; by providing education and recreation space and programs; and by sponsoring nature-based activities.

It is my understanding and belief that the event(s) in which I will be participating may take place in an outdoor setting consisting of both natural, undeveloped wildlands and partially maintained parklands. It is therefore my expectation that in participating in WGFG events, I am likely to encounter inconsistent or uneven terrain and potentially dangerous geological features, and that I may therefore be exposed to a variety of safety risks. Knowing these risks, I firmly believe that the benefits of my participation in the WGFG event(s) outweigh the dangers and risks inherent in such an environment, and I take full responsibility for any injury caused or inconvenience suffered resulting from my exposure to naturally-occurring or manmade hazards, including—but not limited to—the following:

  • Floods, rain and lightning, or prolonged exposure to sunlight and hot or cold temperatures
  • Animals and insects capable of stinging, biting, and causing harm to persons, pets, and property
  • Poisonous or inedible plants and fungi
  • Moving and stagnant water
  • Exposed rocks and elevated cliffs,
  • Falling natural and manmade objects, such as branches, concrete, rocks, and debris from trees, bridges, and overpasses
  • Uneven natural terrain as well as unmaintained, broken, or disturbed dirt and concrete pathways
  • Items or substances brought into the area(s) by other persons or by floods, high winds, or erosion.

I hereby assert that my participation in any and all WGFG event(s) is/are voluntary and I knowingly assume the risks.

II. Waiver of liability

I, in consideration of my right to participate in any and all WGFG event(s), hereby release, waive, discharge, and agree not to sue WGFG, its employees, directors, officers, members, and volunteers from liability from any and all claims regarding personal injury, accidents, illnesses, and damage to property arising from or related to my participation in any and all WGFG event(s). I further agree to indemnify and hold harmless WGFG, its employees, directors, officers, members, and volunteers from any and all claims, actions, suits, costs, expenses, damages and liabilities including attorney fees, arising from or related to my participation in WGFG event(s).

III. Consent to Use Image or Likeness

I hereby acknowledge that WGFG is a non-profit organization that relies upon a variety of tools in order to carry out its mission, including the completion and submission of grant and other funding applications, accepting charitable contributions from private persons and businesses, hosting and co-sponsoring fundraising and/or educational events, community outreach and event planning via social media application (e.g. Facebook, Instagram, or Twitter) or other web-based platforms, as well as more traditional print-based publications. To that end, I understand that WGFG often photographs, videotapes, or otherwise records its events, including event participants, and I am fully aware that as a participant, I am likely to be photographed with or without my knowledge.

I hereby grant the WGFG permission to use my image and likeness contained in any such recording for any reason whatsoever, provided that such use is lawful and related to the organization’s mission and purpose. Additionally, I agree that any and all such recordings shall become the property of the WGFG, to be used in perpetuity, and I hereby waive any and all right(s) that I may have to be compensated for, or notified about, the capture, creation, or publication of such images.

By signing below, I acknowledge that I have thoroughly read and understand this form and that the statements I have made are all true.

Today's Date: April 22, 2025


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 Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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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 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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