NCA Adult Liability Waiver and Photo Consent Form
Thank you for your interest in volunteering or attending one of our tours! Please read this document carefully and completely. By signing this agreement, you waive certain legal rights. Your signature is required for participation in this volunteer event. If you do not feel able to attend after reading this waiver, please cancel your eventbrite ticket so that another person may attend. If you'd like some clarification about the event's activities, communicate additional access needs, or have access questions, please email info@newtowncreekalliance.org. We're looking forward to seeing you!
Name (Preferred)
Legal Name
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First
Last
I certify that I am 18 years of age or older
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Yes
No, I am under 18
If you are under 18, please fill out our
Minor Liability and Photo Release Form.
Email
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Would you like to be added to our email list?
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Yes
No
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Any Relevant Community Affiliations (school, organizations, etc):
Emergency Contact Information:
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Name
Phone Number
Do you have any medical information or access needs that we should be aware of when assigning your responsibilities?
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Yes
No
If you answered yes to the above question, please provide that information:
I am volunteering with Newtown Creek Alliance (NCA). When I am participating in NCA volunteer activities, I agree to cooperate promptly and fully with all directions of NCA personnel. I agree to follow all Rules and Regulations, and all applicable City, State, and Federal laws, rules, and regulations. I understand that my failure to behave appropriately may result in being prohibited from further participating in this or other NCA volunteer activities. I understand the nature of the activities that I will be involved in, including, participating in the various types of activities hosted by NCA including, but not limited to: Tours, Horticulture Activities, and General Clean-Up and General Site Improvements using NCA approved tools following staff safety and use requirements. Tasks may include heavy lifting, use of wheelbarrows, shovels, rakes, grabbers or construction tools to remove trash and debris from the site, remove invasive or otherwise unwanted plant material, and install NCA provided/approved plant material.
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I have read these terms and acknowledge that I am liable
I am aware that volunteering at or attending these NCA events will require me to be outside for a few hours. I am prepared to stand or crouch for long periods of time, walk long distances, or otherwise be mobile and physically engaged in appropriate weather. I represent that I am physically fit and that I do not have a medical condition that would restrict me from participating in these types of physical activities. I acknowledge that there are risks associated with physical activities of this nature, including the risks of serious bodily injury and death, and I hereby assume all dangers and risks associated therewith. I understand that I am responsible for my own behavior and agree that I will only perform tasks that I feel comfortable and safe doing, and that I am medically and physically capable of doing. I also understand it is my responsibility to safely travel to and from the volunteer site and shall not hold NCA responsible for any injury I might sustain as a result of my travel to and from the volunteer site. I understand that NCA is not responsible to cover any medical expenses due to injury received through my participation in their volunteer activities.
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I have read these terms and acknowledge that I am liable
I hereby agree to waive all claims I have or may have against NCA or property owners/operators in relation to volunteer programs, and agree to release and hold harmless NCA, along with their respective trustees, directors, officers, employees, agents, associates, corporate sponsors other representatives, from any and all claims for any and all expenses, personal injury, loss, or damages incurred during or in connection to my participating in this volunteer program. I assume all liability of any non-participants who accompany me. I also agree not to bring any legal actions against the nonprofit based upon my participation in NCA programming.
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I have read these terms and acknowledge that I am liable
By participating in an event or program of Newtown Creek Alliance (NCA), you are participating where photography, audio, and video recording may occur. Your participation constitutes your consent to be photographed, filmed, and/or otherwise recorded and to the release, publication, exhibition, or reproduction of any and all recorded media of your appearance, voice, and name for any purpose whatsoever in perpetuity in connection with NCA and its initiatives, including, by way of example only, use on websites, in social media, news, and advertising. There shall be no compensation, financial or otherwise, for this appearance, voice, or name. By participating in the event, you waive and release any claims you may have related to the use of recorded media of you at the event, including, without limitation, any right to inspect or approve the photo, video, or audio recording of you, any claims for invasion of privacy, violation of the right of publicity, defamation, and copyright infringement, or for any fees for use of such record media. You understand that all photography, filming and/or recording will be done in reliance on this consent.
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I consent to being occasionally photographed and/or video and/or audio recorded by NCA staff members, and those likenesses being used by NCA and/or its grantors
I would not like my likeness used for NCA or grantor purposes. I acknowledge that it is my responsibility to tell all NCA staff at the event that I have opted out of recording. I acknowledge that it is my responsibility to inform NCA staff each time I participate in NCA events that I have opted out of recording. I will not join group photos or recordings that staff are taking, and do my best to stay away from whenever and wherever a staff member is documenting the event.
Today's Date
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Month
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Day
Year
Date
Participant's Signature
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Submit
Should be Empty: