Amphibian Road Crossing Risk Release Waiver
Release of Liability and Assumption of Risk - Amphibian Road Crossing Project

Please submit a separate entry for each person.


This Release and Assumption of Risk is a condition of participation in the North Branch Nature Amphibian Road Crossing Project.  Unless otherwise noted, references to “NBNC” include the North Branch Nature Center, its employees, agents and trustees.

NBNC is not responsible for any negligent or willful act, or failure to act, of any person or entity, or of any other third party not under NBNC’s immediate and direct control. Without limitation, NBNC is not liable for any direct, indirect, consequential or incidental damage; injury, loss, or damage to person or property, illness, death, delay, inconvenience or irregularity of any kind in connection with the program that may be occasioned by or resulting from any act or omission, including, but not limited to, any willful or negligent act, failure to act or breach of contract of any third party, acts of God, climate conditions, natural hazards, the operation of and/or mechanical or other failure of any means of transportation or for any failure of any transportation mechanism to arrive or depart in a timely or safe manner, dangers associated with or bites from animals, pests or insects, aquatic life or vegetation of any sort, dangers incident to any recreational activities, dangers associated with nighttime or rainy conditions, dangers associated with roadways and vehicles on roadways, risks associated with impure water, or for any other action or omissions of third parties, or conditions that are not caused by the willful acts or omissions of NBNC. NBNC reserves the right to accept or reject any person as a program participant, for any reason.

In consideration of, and as part payment for, my right to participate in this program and associated activities, arranged by NBNC, I have and do hereby assume all of the above risks and conditions, and will hold NBNC harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with this program or participation in its activities arranged by NBNC. The terms hereof shall serve as a release and assumption of risk for my heirs, executors and administrators.

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Entering a name and date below serves as the signer's acknowledgment of and agreement to the risk release considerations outlined above.
First and Last Name *
Date *
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For minors under 18:
Accompanying adult/parent/guardian should fill the above with their name, then record the minor's information below.
First and Last Name (minor)
Please submit a separate form for each person participating in the project. Thank you!
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