Thurston Conservation District Liability and Photo Waiver
I am fully aware of the special dangers and risk inherent in this activity, including physical injury, death, or other consequences that may arise or result directly or indirectly from the activity. Being fully informed of these risks, I hereby assume all risk associated with injury, damage and liability and waive any right of recovery from or to bring suit against the district, its elected officials, employees, agents, volunteer workers, and private landowners for any personal injury, death, or other consequences arising out of my voluntary participation in this activity, except for the sole negligence of the district.
Date: *
Participant's Name: *
Address: *
City: *
Zip Code: *
Phone Number: *
Emergency Contact Person: *
Emergency Contact Phone Number: *
Digital Signature of Participant or Parent/Guardian if under 18 years of age: *
Furthermore, I give my permission to be photographed and understand Thurston Conservation District (TCD) may use the said photographs for publications and related publicity. I understand I will not receive any compensation for use of said photographs. *
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