Monan's Rill Volunteer Sign Up
Thank you for your willingness to volunteer to help with fire recovery at Monan's Rill community!

You can sign up here to join us at our next volunteer work and learn days (see dates below).

Space is limited for each workday. Please review our current COVID safety guidelines at https://docs.google.com/document/d/1XTMuMqWYjMdIwR7YQHjj6SrF4AMsst7N3CbfsvyAxZY/edit?usp=sharing

Please complete this form at least 24 hours in advance of the workday for which you want to join us.

Each adult who is attending should be complete their own form every time they attend. Thank you!
Email *
Your Name *
Phone number
Which workday(s) do you plan to attend? *
Required
Release of Liability
I hereby affirm that I have been advised of the inherent risks associated with visiting Monan's Rill Association (MRA). I understand that those risks include, but are not limited to, the risk of exposure to smoke, toxic ash and debris, potentially dangerous wildlife, stray domestic pets, horses, livestock, poisonous plants, uneven and/or slippery walking surfaces, creeks, ponds, woodland fires, and other risks which may result in property damage, personal injury, or even death. I understand that injuries can occur, even if MRA, and others have taken all reasonable precautions. It is my understanding that MRA is not responsible for supervising the grounds or me during my stay. I further understand that due to the location of MRA, medical treatment for such injuries could be delayed. NONETHELESS, I CHOOSE TO USE THE MRA GROUNDS AND FACILITIES IN SPITE OF THOSE RISKS.

I HEREBY ASSUME ALL RISKS WHICH MAY OCCUR FROM ANY HARM, INJURY, ILLNESS, DEATH, OR DAMAGE THAT MAY BEFALL ME AS A RESULT OF USING MRA GROUNDS AND FACILITIES AND EVENTS, WHETHER FORESEEN OR UNFORESEEN.

I AGREE TO ASSUME ALL RESPONSIBILITY FOR ANY HARM, INJURY, ILLNESS, DEATH, OR DAMAGE, AND THEIR RELATED COSTS, MEDICAL EXPENSES, AND DAMAGES OF ANY KIND THAT MAY ARISE OUT OF OR IN ANY WAY RELATE TO USING MRA'S GROUNDS AND FACILITIES AND EVENTS.

I FURTHER AGREE TO HOLD MRA AND ITS MEMBERS, OFFICERS, AGENTS, MANAGERS, CONTRACTORS, VOLUNTEERS, AND ASSIGNS FREE OF ANY AND ALL CLAIMS FOR LIABILITY, INJURY, ILLNESS, DEATH, COSTS, MEDICAL BILLS, OR OTHER DAMAGES INCURRED BY ME, MY FAMILY, HEIRS, OR ASSIGNS, NO MATTER HOW CAUSED. INCLUDING DAMAGES, INJURIES, ILLNESS, OR DEATH ALLEGED TO BE PARTIALLY OR SOLELY CAUSED BY MRA'S ACTS, OMISSIONS, COMMISSIONS, CARELESSNESS, NEGLIGENCE, OR LIABILITY WITHOUT FAULT. I ALSO AGREE TO DEFEND AND INDEMNIFY MONAN'S RILL ASSOCIATION, FOR ANY PERSONAL ACT(S) RESULTING IN A CLAIM OF DAMAGE OR TRESPASS.

I EXPRESSLY DO NOT GIVE UP THE RIGHTS AND REMEDIES THAT MAY BE AVAILABLE TO ME UNDER CALIFORNIA LAW WHICH MAY ARISE DUE TO MRA'S GROSS NEGLIGENCE AND/OR WILLFUL MISCONDUCT.

I understand that this WAIVER AND RELEASE OF LIABILITY applies, whether or not any such harm, injury, illness, death or damage is in any way connected with participation in any activities offered by MRA, and whether such injuries result from my own negligent acts.

I agree that the foregoing WAIVER AND RELEASE OF LIABILITY is intended to be as broad and inclusive as is permitted by the State of California, and that if any portion thereof is held invalid it is agreed that the balance shall notwithstanding continue in full legal force and effect.

I have read this WAIVER AND RELEASE OF LIABILITY carefully and completely before signing 
it. I understand and agree to all of its terms and further agree that no oral representations, statements or inducements, apart from the foregoing written agreement, have been made.
Electronic Signature to Release of Liability *
Please type your full name in this box as your electronic signature to the above Release of Liability
COVID Safety Guidelines
Please review our current COVID safety guidelines at https://docs.google.com/document/d/1XTMuMqWYjMdIwR7YQHjj6SrF4AMsst7N3CbfsvyAxZY/edit?usp=sharing

Key points to know for volunteers:

If you have had Covid-19 symptoms or exposure in the past 14 days, do not come to Monan's Rill.

Covid-19 symptoms or exposure means cough, shortness of breath, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, vomiting, diarrhea, new loss of taste or smell that you cannot attribute to any other health conditions OR known or suspected close contact with someone who is infected with COVID-19 OR a positive test for COVID-19

If you are already at Monan's Rill or have been at Monan's Rill within the past 14 days when you discover Covid-19 symptoms or exposure, notify your Monan's Rill host immediately.

Wash or sanitize your hands frequently, especially before and after using the bathroom, eating, drinking, or touching community dishware or cooking surfaces, and after touching anything that may be contaminated.

If you cough or sneeze, cover your nose and mouth with your mask/face covering, elbow, or a tissue.

Pee outside if possible. If you use the toilet, close the lid before flushing and then wash your hands.

Have a mask or face covering with you at all times.

Outside, wear your mask whenever you may come within 6 feet of another person who is not in your household or pod, unless you are fully vaccinated and all parties present agree to you not wearing a mask.

Indoors, wear a mask or face covering indoors at all times, unless you are fully vaccinated and all parties present agree to you not wearing a mask.

Fully vaccinated means it has been at least 14 days since you received either a) a second dose of the Moderna or Pfizer Covid-19 vaccines, or b) the Johnson & Johnson Covid-19 vaccine.
Do you agree to abide by the above COVID-19 safety guidelines? *
Required
Photo Release
I hereby grant the Monan's Rill Association (MRA) permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of MRA and will not be returned.

I hereby irrevocably authorize MRA to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge MRA from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE.
Do you agree to the above photo release? *
Required
Electronic Signature to Photo Release *
Please type your full name in this box as your electronic signature to the above Photo Release. If you do not agree to the release, please type "DO NOT USE MY PHOTO"
Would you like to be subscribed to the Monan's Rill e-newsletter? *
Do you plan to bring any children with you when you volunteer? *
Children are welcome, and must be attend by all times by their parent/guardian. An additional liability release for children will be required on the next page.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy