Maintenance at Adelaide Bentley Park
June 10, 2023  10:00 AM - 12:00 PM
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Voluntary Waiver
VOLUNTARY WAIVER: In signing this form,
I agree to follow the instructions of the crew leaders.

I acknowledge that there are risks and hazards associated with stewardship activities, such as mulching, planting, weed removal, invasive removal, and cleaning up a park.

I am participating at my own risk, and NeighborSpace has made a warranty or representation, express or implied, regarding the safety of the activity.

On behalf of myself, my heirs, successors and assigns, I hereby forever release, indemnify and hold NeighborSpace, their officers, directors, employees and agents, harmless from and against any and all claims, liabilities, losses, damages, costs and expenses arising from or in any way related to, my service as a volunteer. I intend this release to be effective, regardless of whether the claim of liability is asserted in negligence, strict liability in tort, or other theory of recovery.

I grant NeighborSpace permission to take photographs and video recordings of me and to display, publish, or otherwise use any photographs, video recording, or any other media associated with the stewardship activities, including any media which contains my image or likeness, for their purposes.

I understand that I do not have to participate in any activity that I do not feel comfortable performing, and that it is my responsibility to inform a crew leader if I feel uncomfortable performing a particular task.

By typing my name below, I acknowledge that I have thoroughly read and understand this form and that the statements I have made in it are all true, and that I am at least 18 years of age or, if I am not 18 years of age, the signature and consent of my parent or legal guardian is included below.

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Phone Number *
Home Address *
Emergency Contact: Name *
Emergency Contact: Phone Number *
Date *
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