2023 Stonefly Search Registration and Waiver
Required form for Friends of the Rouge Program Participation. All participants required to self-screen and excuse themselves if they are experiencing any health symptoms.  We do rely on you for your team so please let us know by email as soon as possible if you will not be attending spetrella@therouge.org
Event Date: Sat. January 21, 2023 10 am~3pm
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Email *
Event *
First Name *
Last Name *
Daytime Phone Number *
Please use this format: 313-123-4567
Address *
City *
Zip Code *
Total Number attending (including yourself) *
List names of additional people attending with you or any notes about people or groups you want to be assigned with.  (Children 8 and above are welcome when accompanied by one adult per child, groups may be no larger than six.)
List any group you are attending with, if any
Waiver: I, the undersigned, being of lawful age or the parent or legal guardian of the volunteer involved in the Friends of the Rouge Benthic Sampling Program in consideration of being allowed to participate in the Program, I hereby release, discharge, and forever acquit Friends of the Rouge, a non-profit organization, and its officers, agents, employees, contributors, and sponsors from any and all actions, causes of action, claims or any other liabilities whatsoever, known or unknown, or may arise in the future, on account of or in any way related to or arising out of my participation in the Program. *
Optional Photo Release: I hereby authorize Friends of the Rouge to use photographs and/or video that were taken of me during my participation in Friends of the Rouge activities. I understand that this material may be used in various publications, the internet, public television, recruitment materials, organization presentations, or for other related endeavors. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, the Organization may publish materials, use my name, photograph, video and/or make reference to me in any manner that the Organization deems appropriate in order to promote/publicize the restoration of the Rouge River.
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