Yreka Phlox Nature Walk event registration
Join us on a Botanical Nature Walk to view the endangered and endemic Yreka Phlox!
Event Date: Friday, April 28, 2023  
Event Time: 9:00-11:00 AM
Yreka, CA - prepare to walk 1-2 miles along gravel roads on this trip
Contact us at (530) 926-2259 or sltsteward22@gmail.com 

Instructions for the meeting time and place will be emailed to you, along with any other relevant information. Children are welcome accompanied by a parent. Dogs are not allowed except for ADA service animals.

A copy of your completed form will be sent to you after you submit your answers. Begin with your email then answer all other questions that apply...
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Cell phone number *
What town do you live in?
Including yourself, how many family members are you registering?
Are any under the age of 18?
Clear selection
If you are bringing friends, excellent!  Please have each adult fill out this online registration form.  You can copy and email this link to them: https://www.siskiyoulandtrust.org/april-28-botanical-nature-walk-into-yreka-phlox-habitat/
Future newsletters:  We will automatically add your name to our email list for monthly news and event announcements from Siskiyou Land Trust.  If you do not want to be contacted, please check the box below. 

Activity Liability and Photo Release *
By checking/agreeing below, you acknowledge that there are inherent risks associated with this activity, including, but not limited to, those posed by natural and other hazards in addition to the health risks associated with outdoor and strenuous physical activity and by agreeing you assume all responsibility for any harm in relation to those risks and to forever discharge,  release, defend, indemnify and hold harmless the Siskiyou Land Trust and each of its directors, officers, employees, agents and their heirs, successors and assigns from any and all liability, claims, and demands of whatever kind or nature, in law or in equity, which arise from, or are related to, the activity noted above including, but not limited to, those relating to any form of injury, illness, death or property damage that may result, now or in the future, from the activity or for any actions taken by the Siskiyou Land Trust in the event of an emergency to provide first aid or other treatment.

Additionally, by checking the box below you agree to grant and convey to the Siskiyou Land Trust all right, title and interest in any and all photographs, images, video or audio recordings of them or their likeness made in connection with the activity described above.  

Additionally, I understand the inherent risk of exposure to ourselves and others to COVID-19 in any public space where people are present. By attending this event, I expressly agree that I will comply with all rules and safety guidelines put in place by SLT or published by the CDC or state or local health departments, and voluntarily assume all risks related to exposure to COVID-19.
Required
Your privacy is important to us.  We guarantee that your name, email and personal information will never be sold nor shared to anyone, ever. 

If you are able to give a donation in support of SLT's Nature Walks and land conservation work, we thank you sincerely.  https://give.donationpay.org/siskiyoulandtrust/donations
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy