Event Registration Form
Thank you for your interest in participating in this event hosted by Downeast Coastal Conservancy. Please fill out your details below to register and receive event updates.

Please direct any questions to Cathy Lookabaugh at Downeast Coastal Conservancy (cathy@downeastcoastalconservancy.org or 207.255.4500).

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Email *
Please check the event(s) you are registering for: *
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Number of participants you are registering: *
Participants First and Last Name(s) *
Are you a DCC Member? *
How did you find out about this event? *
WAIVER: I understand on the behalf of myself and accompanying guests: this field activity may involve difficult and dangerous conditions and/or work tasks, and numerous unanticipated hazards may be encountered. I agree to proceed entirely at my own risk and to assume all associated liabilities. Further, I agree for myself, my successors, and assigns to indemnify Downeast Coastal Conservancy against any loss or damage it may suffer by reason of any claim which may arise from my participation in this activity. I understand each participant will need to sign a copy of this wavier at the start of the program. (Write out full name as your digital signature) *
HEALTH SAFETY (optional): Does the participant(s) have any health concerns such as serious allergies, asthma, diabetes, convulsive seizures, hearing or vision loss, etc.? If yes, please describe.
PHOTO RELEASE (optional): I, the undersigned, hereby grant Downeast Coastal Conservancy permission to use the Participant’s likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Downeast Coastal Conservancy and will not be returned. I hereby irrevocably authorize Downeast Coastal Conservancy to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein the Participant’s likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge Downeast Coastal Conservancy from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
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