Register for Orchard and Apiary Day 2017!
On Saturday, May 20th of 2017, the Leaders of the Future and ReRoot Pontiac are partnering with AkzoNobel to finish building the Orchard and Apiary at 76 Henderson St. in Pontiac. We invite you to join us!

Feel free to bring your family. An information sheet will be sent to your email once the form is processed.

We hope to see you there!

Your Beautiful Name
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Your Excellent Email
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Your Fantastic Phone Number
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Your Awesome Address
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Which onsite project would you prefer? You may work more than one project over the course of the afternoon.
To which squad do you belong?
How long are you able to volunteer at Perfect the Pontiac Parks Day?
Emergency Contact Name and Number
Your answer
WAIVER OF RESPONSIBILITY FOR PARTICIPATION and PHOTO RELEASE for the Orchard and Apiary Day 2017 - I acknowledge that participation in Orchard and Apiary Day 2017 may involve risk of bodily injury, property damage or other dangers. I freely assume all such risks.In consideration of the permission to participate in such activities, including the use of facilities, equipment, grounds and/or personnel and any travel associated with the organization or activity, I agree to: 1) RELEASE, WAIVE and DISCHARGE the Leaders of the Future, its agents and employees from all liability to me, my personal representatives, assign, heirs, and next of kin, for all loss or damage and any claims or demands therefore, including attorney fees, on account of injury to myself or my property, whether caused by the negligence of the Leaders of the Future, its agents and employees, or otherwise, which I may experience or sustain arising directly or indirectly out of my aforementioned participation; 2) INDEMNIFY, DEFEND and HOLD HARMLESS the Leaders of the Future, its agents and employees and all persons, including but not limited to participants and spectators, from any and all claims and costs arising directly or indirectly out of any of my activities, acts and/or omissions; and 3) RELEASE the Leaders of the Future and AkzoNobel to capture photos of myself and my party during the Orchard and Apiary Day 2017 event for promotional use. I also acknowledge that the Leaders of the Future, its agents and employees, act only as my agents in regard to any and all travel and accommodations provided by others and assume no liability arising from travel activities, arrangements and accommodations. I HAVE CAREFULLY READ AND UNDERSTAND COMPLETELY AND CLEARLY THE ABOVE PROVISIONS AND VOLUNTARILY SIGN THIS WAIVER AND INDEMNIFICATION FORM.
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