Storm Drain Marking Volunteer Liability and Photo Release - Anne Arundel County Bureau of Watershed Protection & Restoration
BY SUBMITTING THIS FORM, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COUNTY.

SAFETY REMINDERS FOR STORM DRAIN MARKING:
*Volunteers must wear high-visibility safety gear at all times.
*At all times, assign one person to look for oncoming traffic. Be especially careful in high traffic
areas.
*Stay out of and away from traffic lanes. Face on-coming traffic. Drivers may not always see you
so watch out for them.
*Mark in pairs or groups. Do not work alone.
*Apply markers on public streets only. Streets with blue signs are private.
*Use the large garbage bags for picking up trash and debris around the storm drain and for
discarding rubber gloves and empty adhesive tubes.
*If you notice any paint, oil, or other hazardous materials near or

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Email *
Event Date
MM
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DD
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YYYY
Event Location (ex. Crofton, Edgewater, Annapolis, etc.)
Project Sponsor Individual/Organization Name (other than AACo)
First and Last Name of Participant *
Participant Phone Number *
Participant Email Address *
Participant Home Address (ex. 123 Sesame St., City, ZIP) *
1. Assumption of Risk - I am aware and understand that the Activities may be inherently dangerous and may expose me to a variety of foreseen and unforeseen hazards and risks, including injury to my pet, child, guardian or other attendees. I acknowledge that I am voluntarily participating in the Activities and have considered those risks. I hereby expressly and specifically assume such risks, including any and all risk of injury, harm, or loss that I may incur as a result of my minor child, guardian, pet or my participation in the Activities. I understand and acknowledge that I am also fully aware of all risks.   *
Required
2. Participant Responsibility - I recognize my responsibility to ensure that I, my pet, minor child, and/or guardian participate only in those activities for which he/she/they have the required skills, qualifications, training and physical conditioning.   *
Required
3. Medical Treatment - I hereby give consent and authority to the County to obtain medical treatment on my behalf, my minor child or guardian, or my pet’s behalf if there is an injury or medical attention is required due to my participation in the Activities. I understand and agree that I am solely responsible for all costs related to such medical treatment, medical transportation, and/or evacuation for myself, my pet(s), children or guardians. Such treatment may be given only if practically available and, in the County’s, sole discretion. I hereby release, forever discharge, and hold harmless the County from any claim whatsoever in connection with such treatment or other medical services. I also understand and agree that it is my responsibility to ensure that I am authorized to provide such consent and hereby certify and attest that no other parties’ authorization is needed. *
Required
4. Release and Waiver - I hereby fully and forever release and discharge the County from, and expressly waive, any and all liability, claims, and demands of whatever kind or nature, either in law or in equity that may arise from my participation in the Activities. I agree not to make or bring any such claim or demand against the County, and fully and forever release and discharge the County from liability under such claims or demands.  I UNDERSTAND THAT THIS RELEASE DISCHARGES THE COUNTY FROM ANY LIABILITY OR CLAIM THAT I MAY HAVE AGAINST THE COUNTY WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, PROPERTY DAMAGE, OR PROPERTY LOSS THAT MAY RESULT FROM THE ACTIVITIES, WHETHER CAUSED BY THE NEGLIGENCE OF THE COUNTY OR OTHERWISE. *
Required
5. Insurance. I UNDERSTAND THAT THE COUNTY DOES NOT ASSUME ANY RESPONSIBILITY FOR OR OBLIGATION TO PROVIDE FINANCIAL ASSISTANCE OR OTHER ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH, OR DISABILITY INSURANCE OF ANY NATURE IN THE EVENT OF MY INJURY, ILLNESS, OR DEATH, OR DAMAGE TO OR LOSS OF MY PROPERTY. I also understand that workers' compensation insurance is not available to volunteers or attendees and that I should express caution around any unknown animal. I expressly waive any claim for compensation or liability on the part of the County in the event of any injury or medical expense. *
Required
6. Indemnification - I hereby agree to indemnify, defend, and hold harmless the County from any and all liability, losses, damages, judgments, or expenses, including attorneys' fees, that it may incur or sustain as a result of my negligence, recklessness, or willful misconduct in connection with my participation in the Activities or my animal’s participation therein, including any liability arising out of any third-party claim. *
Required
7. Photographic and Media Release - I understand and agree that during the Activities, I may be photographed, posted on social media and/or videotaped by the County or other parties for internal and/or promotional use. I hereby grant and convey to the County all right, title, and interest, including but not limited to, any royalties, proceeds, or other benefits, in any and all such photographs or recordings, and consent to the County's use of my name, image, likeness, and voice in perpetuity, in any medium or format, for any publicity without further compensation or permission, including advertisement for the County. *
8. Miscellaneous - I hereby agree that this Release represents the full understanding between the County and me and supersedes all other prior agreements, understandings, representations, and warranties, both written and oral, between us, with respect to the subject matter hereof. If any term or provision of this Release shall be held to be invalid by any court of competent jurisdiction, that term or provision shall be deemed modified so as to be valid and enforceable to the full extent permitted. The invalidity of any such term or provision shall not otherwise affect the validity or enforceability of the remaining terms and provisions. This Release is binding on and inures to the benefit of the County and me and our respective heirs, executors, administrators, legal representatives, successors, and permitted assigns. Section headings are for convenience of reference only and shall not define, modify, expand, or limit any of the terms of this Release. *
Required
9. Governing Law - I hereby agree that this Release is intended to be as broad and inclusive as permitted, and that this Release shall be governed by and interpreted in accordance with the laws of the State of Maryland and Anne Arundel County, without reference to any choice of law doctrine. *
Required
Emergency Contact First and Last Name, Relationship to Participant *
Emergency Contact Phone Number *
Emergency Contact Email Address *
Any allergies, medications, or other medical information needed in case of emergency? Write N/A if none. *
How did you hear about this event? *
Age of Participant - If the participant is under 18 years of age, a parent or legal guardian must also provide their contact information below. *
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