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Maine Audubon Release Waiver

PLEASE READ CAREFULLY. THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS.

This Release and Indemnity Agreement (the “Release”) is between the individual indicated below (“me,” “my,” or “I”) and the Maine Audubon Society (including the following Chapters: Downeast Audubon, Fundy Audubon Merrymeeting Audubon, Penobscot Valley Audubon, Western Maine Audubon, and York County Audubon) and the Mid-Coast Audubon Society (collectively “Audubon”). In order to participate in volunteer and/or other activities related to or sponsored by Audubon and use Audubon facilities and equipment (collectively the "Activities"), on my own behalf and on behalf of my insurers, guardians, personal representatives, heirs, beneficiaries, successors, and assigns, I agree to the following terms.

Acknowledgement of Volunteer Status

I acknowledge and agree that I am not an employee of Audubon and that I will not receive any compensation or benefits for my participation in the Activities nor be eligible for any coverage under Maine Workers’ Compensation laws. If I am injured or become ill during the Activities, I hereby permit Audubon to administer first aid and seek medical assistance on my behalf. However, I acknowledge and agree that I am solely responsible for medical bills as well as for having insurance coverage for my injuries and illnesses.

Assumption of Risk, Release, and Indemnification

I acknowledge that participation in the Activities comes with inherent risks including, but not limited to, property damage, personal injury or death, and illness including, without limitation, COVID-19. I voluntarily accept and assume full responsibility for these risks.

I release, hold harmless, and indemnify Audubon and its successors and assigns, and their insurers, directors, officers, trustees, employees, volunteers, trip leaders, co-sponsors, chapters, contractors, and agents (the “Audubon Parties”) from and against any and all claims, demands, liabilities, and losses of whatever kind or nature arising out of or from my participation in the Activities, including without limitation claims arising out of the negligence or fault of the Audubon Parties.

By participating in the Activities, I consent to be photographed, filmed, and/or otherwise recorded and agree that all such photographs and recordings, and any reproductions, are the sole property of Audubon and may be used by Audubon for any purpose without compensation or prior approval.

This Release is intended to be as broad and inclusive as permitted, and is governed by Maine law, exclusive of its conflicts of law rules. If any portion of this Release is found to be unenforceable, the remaining portions shall remain in full force and effect. I have had an opportunity to read and consider this Release, and I sign it voluntarily.

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
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*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
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 or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
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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