Apply to be a Wild Keeper Ambassador:
Requirements:
  • Pick up trash in your local wild places
  • Passionate about keeping nature wild
  • Follow @keepnaturewild on Instagram or TikTok
  • Willing to post about KNW on your feed once a month on Impact Days
  • Must be active on Instagram or TikTok
  • 12 years or older

Enter your email address below! Please double-check that it is correct before moving on.
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Email *
Name *
First and Last
Location *
Please enter city, state or country
Instagram or TikTok Handle: *
IG or TikTok handle must be spelled correctly. If there are typos we cannot find you!
Instagram or TikTok URL: *
Were you referred by a current Wild Keeper? *
If yes, what is their name? *
Are you willing to post about KNW once a month on your personal IG feed for Impact Days? *
Tell us what makes you Wild Keeper Ambassador material? We get a lot of applications, so this is your chance to shine! *
If you are accepted, you will have access to exclusive Keep Nature Wild discounts, items, and sales. By checking below, you agree to not share these with anyone. *
Wild Keepers Liability Waiver *
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE WILD KEEPERS PROGRAM, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.I certify that I am physically fit and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of THE WILD KEEPERS PROGRAM in which I may participate, and that it will govern my actions and responsibilities at said activity.In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Keep Nature Wild Ltd. and/or their directors,officers, employees, volunteers, representatives, and agents, and the activity holders,sponsors, and volunteers;(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.I acknowledge that Keep Nature Wild Ltd. and their directors, officers, volunteers,representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather,condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders,producers, sponsors, organizers, and assigns.The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND BY CLICKING YES IN THE GOOGLE FORM, I SIGN IT OF MY OWN FREE WILL.
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Signature *
Please type your full name
If accepted, you are agreeing that you will live by the Wild Keeper Ambassador Requirements, positively impact your local wild spaces, and keep nature wild!
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