Ohio Natural Areas and Preserves Association Volunteer Information and Release and Waiver of Liability
Ver 4/16/2015
I desire to participate as a volunteer for the Ohio Natural Areas and Preserves Association (ONAPA) and engage in the activities related to being a volunteer, including but not limited to activities such as preserve monitoring, preserve assessment, invasive species control, table hosting at events, leading or assisting with field trips, committee and board meeting activities, and/or driving to accomplish my selected volunteer efforts. I understand that the activities may include the use of tools and equipment that may place me in situations that may pose a risk of harm to me. I agree to only use tools and equipment for which I have been trained or have previous personal experience. I agree to abide by all guidelines, rules and instructions provided by activity or project leaders and supervisors. I understand and accept that this Release and Waiver of Liability is in effect until revoked by either ONAPA or me in writing or by email and further acknowledge that this is a legal document. I hereby freely, voluntarily, and without duress execute this release under the following terms:
1. Waiver and Release. I hereby release and forever discharge and hold harmless ONAPA and its successors, assigns, officers, and volunteers from any liability, claims and demands of whatever kind or nature either in law or equity, which arise or may hereafter arise from acts of volunteerism at the Event or Activity. I understand and acknowledge that this Release discharges ONAPA from any liability or claim that I may have against ONAPA with respect to any bodily injury, personal injury, illness, death, or property damage or loss that may result from my work for, or involvement with, ONAPA whether caused by negligence of ONAPA or its officers, directors, other volunteers, or agents or other Event or Activity sponsors, participants and organizers. I also understand that ONAPA does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to automotive, medical, health, or disability insurance, in the event of injury or illness. *
Required
2. Medical Treatment. I hereby release and forever discharge ONAPA from any claim whatsoever that arises or may hereafter arise on account of first aid, treatment, or service rendered, or lack thereof, in connection with participation in the Event or Activity. *
Required
3. Assumption of Risk. I recognize and understand that activities associated with the Event or Activity for ONAPA may, in some situations, involve inherently dangerous conditions. I hereby expressly and specifically assume the risk of injury or harm in these activities an release ONAPA from all liability for injury, illness, death or property damage resulting from said activities and release ONAPA from all liability for injury, illness, death or property damage resulting from said activities of my participation in the Event or Activity. *
Required
4. Photographic Release. I grant permission to Ohio Natural Areas and Preserves Association, its employees, volunteers or other associates, to use my likeness whether by photographic, digital, video, audio, or other means and the full right without compensation to me, my family, heirs or associates to use said likeness in any commercial or non-commercial venture including but not limited to the use in brochures, newsletters, videos, or any other means printed, electronically recorded or broadcast. I understand that I may not be able to withdraw my permission at a later date. *
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5. Insurance. I understand that ONAPA does not carry or maintain primary health, medical, life, disability or automotive coverage for any volunteer. Each volunteer is expected and encouraged to obtain his/her own medial or health insurance coverage and automotive coverage. *
Required
6. Laws that Govern. I expressly agree that this Release is intended to be broad and inclusive as permitted by the State of Ohio and that this Release shall be governed by and interpreted in accordance with the laws of the State of Ohio. I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable. *
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I verify that the submission of this form with my name and date replaces my signature. I have read and submitted this Release and Waiver of Liability and provided ONAPA and Event Sponsors with my Emergency Contact Information and other information listed below. *
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First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
County *
Your answer
Gender *
Required
Age *
Phone Number (999-999-9999) *
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Have you completed a DNAP Volunteer form within the past two years?? *
Required
Are you allergic to anything to your knowledge (bee stings, food, medicines, etc.)? If so please describe.
Your answer
Any other health concerns we should be aware of while volunteering for ONAPA?
Your answer
Do you have current CPR training or First Aid training? Indicate which ones, please.
Your answer
I confirm that I have not been convicted of any felony, or unlawful sexual behavior. I understand and agree that if I provide a vehicle that is in any way used for ONAPA related services or activities, that vehicle will have liability insurance coverage in an amount that complies with the laws of the State of Ohio. I understand I have made a volunteer service commitment to the Ohio Natural Areas and Preserves Association. I shall complete all training required to fulfill the assignments to which I have committed. I, as listed below, state that all information completed is true, and that I agree to the terms set forth above. I understand that the information provided on this form will not be shared with any other organization. *
Required
Full Name *
Your answer
Today's Date (99/99/9999) *
Your answer
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