Bears Ears Partnership Waiver

RELEASE AND WAIVER OF LIABILITY

This Release and Waiver of Liability (the "Release") is executed on the event date signed on Page 2 of this waiver by the Volunteer named on Page 2 (the "Volunteer"), in favor of BEARS EARS PARTNERSHIP and any other BEARS EARS PARTNERSHIP affiliated organization and their respective directors, officers, trustees, employees, volunteers, insurers and agents (collectively, the "Released Parties"

I. the Participant, desire to work as a volunteer for one or more of the Released Parties and engage in the activities related to being a volunteer ("Activities" I understand that my Activities may include but are not limited to the following: working in BEARS EARS PARTNERSHIP operations; hiking in potentially extreme conditions, traveling to and from project sites, towns, or cities; consuming food and beverage available or provided; working on service projects; and other volunteer-related activities.

I. the Participant, hereby freely, voluntarily and without duress execute this Release under the following terms:

I, the Participant, do hereby release and forever discharge and hold harmless the Released Parties and their successors, agents and assigns from any and all liability, claims and demands which I or my heirs, assigns, next of kin or legal representatives may have or which may hereinafter accrue with respect to any injury of any nature whatsoever, illness, death or property damage which arise or may hereafter arise from or is in any way related to my Activities with any of the Released Parties, whether caused wholly or in part by the simple negligence, fault or other misconduct, other than intentional or grossly negligent conduct, of any of the Released Parties or of other volunteers.

I understand and acknowledge that by this Release I knowingly assume the risk of injury, harmand loss associated with the Activities. I also understand that the Released Parties do not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury, illness, death or property damage.

Medical Treatment. I, the Participant, do hereby release and forever discharge the Released Parties from any claim or action whatsoever which arises or may hereafter arise on account of any first aid, treatment or service rendered in connection with my Activities with any of the Released Parties.

If the Participant is less than 18 years of age, the Volunteer and the parents having legal custody and/or the legal guardians of the Volunteer (the "Guardians") also hereby release and forever discharge the Released Parties from any claim whatsoever which arises or may hereafter arise on

account of the decision by any representative or agent of the Released Parties to exercise the power to consent to medical or dental treatment as such power may be granted and authorized ina Parental Authorization for Treatment of a Minor Child.

Assumption of the Risk. I. the Participant, understand that my Activities may include work that may be hazardous to me, including. but not limited to, the following: hiking on varied terrain with potential hazards, hiking and potential exposure to extremes of weather, manual labor and construction; loading and unloading; travel to and from the work sites; and exposure to the elements, which may cause or worsen certain illnesses, especially if I do not wear protective equipment, am exposed for extended period of time, have a pre-existing condition, or am taking certain medications.

I hereby expressly and specifically assume the risk of injury or harm in the Activities and release the Released Parties from all liability for any loss, cost, expense, injury, illness, death or property damage resulting directly or indirectly from the Activities.

Insurance. I, the Participant, understand that, except as otherwise agreed to by the Released Parties in writing, the Released Parties are under no obligation to provide, carry or maintain health, medical, travel, disability or other insurance coverage for any Volunteer.

Photographic Release. I, the Participant, do hereby grant and convey unto FRIENDS OF CEDAR MESA, all right, title and interest in any and all photographs and video or audio recordings of or including my image or voice, made by any of the Released Parties during my Activities with the Released Parties, including. but not limited to, the right to use such photographs or recordings for any purpose and to any royalties, proceeds or other benefits derived from them.

Other. I, the Participant, expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the state where the Activities take place. I further agree that in the event any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining clauses or provisions of this Release, which shall continue to be enforceable.

Further, a waiver of a right under this Release does not prevent the exercise of any other right.

To express my understanding of and agreement with this Release, I sign here:

Name

First NameLast Name

Full Name (the "Particapant")

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone: (home)

Phone: (cell)

Please enter a valid phone number.

Phone: (cell)

Date of Birth

Date

Email

example@example.com

Date of participation

Date

Signature

IMPORTANT: If the Volunteer is less than 18 years of age, all parents or guardians must also sign this Release and Waiver of Liability:

Parent/Guardian Print Name

Parent/Guardian Signature

Address

Date

EMERGENCY CONTACT INFORMATION:

Name

Relationship

Address

Phone

Email

example@example.com