Liability Waiver Form – Shoreline Cleanup VOLUNTEER REGISTRATION AND RELEASE OF LIABILITY - STEWARDSHIP ACTIVITIES FOR ANACORTES DIVING & SUPPLY Description of Volunteer Stewardship Activities: Volunteers will participate in a shoreline clean-up for a maximum of 2 hours. Activities will include picking up and hauling man-made debris found along the shoreline and sorting items for proper removal. Activities will take place outdoors and involve walking over uneven terrain including through sand or in the water. Biting or stinging insects may be present. No swimming is permitted, but participants may choose to wade in the water at their own risk. Volunteers should not pick up any debris that may cause them harm, such as glass or needles. Shoes must be worn at all times. Restrooms are available on-site. In consideration of my participation as a volunteer member of a work crew of Anacortes Diving & Supply, Inc. performing stewardship activities, I agree as follows: I Agree I will follow the instructions of the event leader.
I Agree I understand the proper operation of the equipment I am to use. I understand that my participation in this work may involve sustained strenuous physical activity.
I Agree I am in good health and I am aware of no physical problem or condition which will limit or interfere with my ability to participate as a member of the crew under either predicted or emergency conditions. I also understand that medical attention may not be readily available.
I Agree I understand that the stewardship activities may involve dangerous activities or situations. I agree that I am participating at my own risk, and acknowledge that Anacortes Diving & Supply has made no warranty or representation, express or implied, regarding the safety of conducting this work.
I Agree I understand that I am not an employee of Anacortes Diving & Supply and that I will receive no compensation or other employment-related benefits.
I Agree On behalf of myself, my heirs, successors and assigns, I hereby forever release, indemnify and hold Anacortes Diving & Supply, Inc, its officers, directors, employees and agents, harmless from and against any and all claims, liabilities, losses, damages, costs and expenses arising from or in any way related to, my service as a volunteer. I intend this release to be effective, regardless of whether the claim of liability is asserted in negligence, strict liability in tort, or other theory of recovery.
I Agree WATER RELATED ACTIVITIES: If I (or we) am/are in or near a body of water or on watercraft in connection with the Activity, I also understand the risks related to waterbodies and watercraft, including but not limited to risks related to swimming proficiency, water movement, (including risks related to exertion), collisions, water temperature (including hypothermia), tides, exposure, watercraft operation, equipment failure, and rescue efforts.
I Agree MEDIA AUTHORIZATION: I grant Anacortes Diving & Supply permission to take photographs and video recordings of me and to display, publish or otherwise use any photographs, video recording, or any other media associated with the activity, including any media which contains my image or likeness, for Anacortes Diving & Supply's purposes. I also consent to the use of my name in connection with such images. I release, indemnify and hold harmless Anacortes Diving & Supply and its officers, directors, agents and employees from any and all claims which may result at any time by reason of the use of my image and name, including, without limitation, claims of privacy. My heirs, executors, administrators and assigns shall be bound by this consent and release.
I Agree By signing below, I acknowledge that I have thoroughly read and understand this form and that the statements I have made in it are all true, and that I am at least 18 years of age or, if I am not 18 years of age, the signature and consent of my parent or legal guardian is included below.
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