Complete the form below to be eligible to participate in the Sandburg Elementary/DCS Herbicide Free Program. Please complete a form for each individual participant.

By signature below, I hereby acknowledge I am a volunteer in the above captioned project. I understand that portions of this project may include the use of hand tools and power tools. I know that if I am under the age of 18 I am not to use power tools.I understand that I am responsible for providing and wearing personal protective clothing and equipment; i.e., safety glasses, gloves, etc., which may be needed when operating these tools. If I have questions regarding the safe use of this equipment, I am to ask for safety training prior to using this equipment.

I am fully aware of the special dangers and risks inherent to this project, including physical injury, death, or other consequences that may arise or result directly or indirectly from the activity. As an acknowledgement, I hereby assume all risk of injury or liability and wave any right of recovery from the Lake Washington School District. I shall not bring suit against the Lake Washington School District, its Board, employees or volunteers for any personal injury, death or other consequences arising out of participation in this activity, except for loss or damage resulting from their sole negligence.

If Participant is under the age of 18, please have parent or legal guardian sign below:

I have read the above release form and by signature below agree to allow the above captioned "Minor Participant" to take part in the described activity and agree to the releases and statements made above.