St. Paul Storm Drain Marking Project — Independent Individual and Groups

Liability Waiver

My signature indicates that for myself and any participant for whom I am responsible participation is voluntary and that no
one in the group listed below is entitled to payment for any service.

I acknowledge, understand and agree that my and my group’s participation in this event involves both known and unknown risks and that I assume full responsibility for their participation, the results, and consequences thereof, hereby release, indemnify and hold harmless the Friends of the Mississippi River, the City of Saint Paul Minnesota, and the City of Minneapolis Minnesota and any other program partners, their officers, officials, employees, and agents with respect to any and all personal injury, disability, death, or loss or damage to person or property whether arising from the negligence of the sponsors or otherwise, to the fullest extent permitted by law.

Photo Release

My signature also indicates that should I or my group provide video or images of any kind from the activity, I grant Friends of the Mississippi River (FMR), the City of Saint Paul Minnesota, the City of Minneapolis Minnesota, and any FMR-authorized groups and partners for this event the right to use any such provided images of members of the group listed below, their performance and sounds. I understand that this use includes the rights to reproducing, publishing, publicly displaying, distributing, licensing, and assigning said recordings together with the copyright to these recorded images in all formats. I authorize their name to be used in connection with all uses of these recorded images and sounds. I understand that none of the group’s members will be paid for any of the uses of these recorded images and sounds. I waive all rights to inspect, approve or control how these recorded images and sounds will be used. I understand that there will be no intentional distortion or misrepresentation to these images or sounds. I agree to not sue and to hold harmless FMR, the City of Saint Paul, the City of Minneapolis, and any City officials, employees, contractors, and licensees from any claims or damages arising from the use of these recorded images and sounds of the group and their performance.

If Minors are Involved

In the event that my group includes participants under the age of 18, I certify that I have received written permission from the parents or guardians of all minors allowing them to participate in this activity and the use of their images, performance and sounds. I fully realize and assume the risks associated with participating in this project and recognize that it will include activity that has inherent dangers and have communicated this with all participants and guardians of participants.

Group Leader Name: *
Your answer
Name of Group: *
Your answer
Complete Address for Group or Group Leader: *
Your answer
The above address is: *
Group Leader email *
Your answer
Group Leader phone number *
Your answer
Group Leader's Online Signature *
By typing my name below I agree to the liability waiver, photo release and related requirements regarding guardian permissions for myself and everyone in my group.
Your answer
Backup contact in case we have difficulty retrieving supplies: *
Your answer
Backup contact's phone number *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Friends of the Mississippi River. Report Abuse - Terms of Service - Additional Terms