Please select the date(s) from the list below that you are available to volunteer to assist with watering native plants at the bottom of Deer Park Road in Port Angeles. Please mark these dates on your calendar as a reminder and driving instructions won't be emailed out until closer to the event. Thank you! *

Please feel free to sign up for as many time slots for watering as you can commit to - volunteering weekly is greatly appreciated. Time slots will be removed as volunteer capacity is met.

July 24 (Th) - 9:00AM - noon

July 24 (Th) - 1:00 - 4:00PM

July 31 (Th) - 9:00AM - noon

July 31 (Th) - 1:00 - 4:00PM

August 7 (Th) - 9:00AM - noon

August 7 (Th) - 1:00 - 4:00PM

August 14 (Th) - 9:00AM - noon

August 14 (Th) - 1:00 - 4:00PM

August 21 (Th) - 9:00AM - noon

August 21 (Th) - 1:00 - 4:00PM

August 28 (Th) - 9:00AM - noon

August 28 (Th) - 1:00 - 4:00PM

September 4 (Th) - 9:00AM - noon

September 4 (Th) - 1:00 - 4:00PM

September 11 (Th) - 9:00AM - noon

September 11 (Th) - 1:00 - 4:00PM

September 18 (Th) - 9:00AM - noon

September 18 (Th) - 1:00 - 4:00PM

September 25 (Th) - 9:00AM - noon

September 25 (Th) - 1:00 - 4:00PM

Name *

First Name

Last Name

Phone *

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Name of Emergency Contact (or Parent/Legal Guardian if you are under 18) *

First Name

Last Name

Phone for Emergency Contact (or Parent/Legal Guardian if you are under 18) *

(###)

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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 *

To keep other volunteers and agency staff healthy, 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 that 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