Arkansas River Trash Roundup Volunteer Sign-In Sheet Template printable pdf download

Arkansas River Trash Roundup

This document must be signed by ALL volunteers. If the volunteer is under

the age of 18, this document must be signed by his or her legal guardian.

Volunteer Sign-in Sheet

Volunteer Activity: I am donating my time and services without any compensation and

shall at no time be considered an employee or independent contractor of the River Trash

Round Up Event. I understand that no organization is providing insurance coverage for me.

Affiliation

Release from Liability: In consideration for being allowed to participate in the River Trash

Round Up as a volunteer, I, binding my heirs, executors, administrators, and assigns, hereby

fully and forever release, waive, discharge, acquit and exonerate the organizers of the River

Trash Round Up Event in which I am participating, and all sponsors, including cleanup volun-

teers and affiliates, from any and all claims, actions, causes of action, remedies and com-

Participants

plaints of any kind, except for claims for gross negligence or willful misconduct, which I have

or may have, whether known or unknown, arising out of or relating to the River Trash Round

Name

Minor

Up or my volunteer work for this event, including specifically all claims for personal injury,

paralysis, wrongful death, property damage and any other injury I may sustain.

Yes No

Assumption of Risk: I assume all risks of participating in the River Trash Round Up Event

and full responsibility for my conduct and actions, including any injury to myself or others or

Yes No

damage to property that may result while volunteering. I understand that the City of Wichi-

ta, Cargill, Wichita Ducks Unlimited, Waste Connections Inc, Spirit Aerosystems, and other

Yes No

sponsors are not responsible for conditions I create for myself or those created by other

Yes No

volunteers or participants. I am aware that the River Trash Round Up activities may be haz-

ardous, involving risk of serious bodily injury, death, or property damage. I am voluntarily

Yes No

participating in these activities with knowledge of the risks. These risks include, but are not

limited to, slips, falls, exposure to hazardous materials, objects or persons falling on persons,

Yes No

equipment failure, injury from sharp equipment, properly administered first aid, lightning

strikes, hypothermia, and/or drowning.

Yes No

I know of no reason, medical or otherwise, that would prevent me from performing the

Yes No

tasks required to participate in this volunteer activity. I will be personally responsible for my

own safety during these Activities and assume all risks and accept full and complete respon-

Your signature indicates that you agree that the images of those listed above can

sibility for any and all damages and personal injury of any kind, including death.

be used for future promotions for the Ark River Trash Round Up.

I recognize the City of Wichita, Cargill, Wichita Ducks Unlimited, and other sponsors and

If there are minors under 18 listed, a Guardian’s signature is required.

their respective agents, volunteers and affiliates make no representations whatsoever as to

Signature

whether the Arkansas River is safe or as to whether the safety recommendations provided

are comprehensive or adequate.

My signature on this form affirms that I have read & understood the above

document & that I voluntarily, freely & without duress agree to its terms.

Arkansas River Trash Roundup Volunteer Sign-In Sheet Template

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