Please select which workshop(s) you plan to attend: *

May 29 (Thurs) from 1:00PM to 2:30PM - An Introduction to Riparian Plantings

Name *

First Name

Last Name

Phone *

Will only be used if there is an unexpected last minute change in the event.

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Release of Liability *

By checking the box below, I agree to indemnify and hold the landowners, Clallam Conservation District, its employees, its elected and appointed officials, any other third party involved with the event, and other event participants harmless from and against any liability, claim, injury, or costs arising from or resulting from my work as a volunteer and/or attendance at an education event. Furthermore, I acknowledge there are potential hazards associated with volunteer activities and/or participation at educational events and I agree to exercise common sense and follow all safety precautions to avoid accident and injury. I will contact the project leader(s) in case of an accident or if I observe safety hazards or violations.

I acknowledge I have read and agree to Clallam Conservation District’s Release of Liability as presented above.

Health Safety Guidelines *

If indicating any of the following symptoms I will not attend the event: Fever, chills, cough, shortness of breath, fatigue, muscle pain, headache, loss of taste or smell, sore throat, stuffy or runny nose, nausea, vomiting, diarrhea.

I acknowledge I have read and agree to Clallam Conservation District’s Health Safety protocol as presented above.

Photo Release *

I give my permission to have my photo or my child’s photo taken during this event and used for publicity purposes for hosts or sponsors.

Yes

No