Liability Waiver Form for Minor

Oregon Agate and Mineral Society's Liability Waiver Form For Minor.

Participants must be above 16 years of age, but anyone under the age of 18 as of February 21, 2026, at 12:00 AM PST must have this form completed by a parent or legal guardian. This requirement must be fulfilled prior to participation in our event at OMSI. The deadline of this form's submission cannot be later than February 21, 2026, at 12:00 AM PST. Thank you for your cooperation in ensuring a safe experience for our volunteer.
Part I: About the Student/Volunteer Who Is A Minor -

We are committed to protecting the privacy of our young volunteers. The information requested below helps us get to know our volunteers before they arrive, ensuring we can provide a safe and supportive experience. We promise to keep this data secure and will never sell or share your family's personal information.
Student/Volunteer's Full Legal Name*

First NameLast Name
Student/Volunteer's Email:*
example@example.com
What is their pronouns?
Student/Volunteer's Mobile/Phone Number:*
Please enter a valid phone number.
Student/Volunteer's Date of Birth (as of February 21, 2026, at 12:00 AM PST ): Please bring your school/college identification or your driving permit/license along for verification. Thank you.*

MonthDayYear
Date
Student/Volunteer's Grade Level:*
School's Full Name:*
Part II: To be completed by a parent or legal guardian of the participating volunteer -
Parent or Legal Guardian's Full Name*

First NameLast Name
Parent or Legal Guardian's Email*
example@example.com
Parent or Legal Guardian's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Legal Guardian's Phone Number:*
Please enter a valid phone number.
All parents or legal guardian(s) must read the following term of participation carefully before signing on the bottom of this form. This form has to be completed and submitted by no later than February 21, 2026, at 12:00 AM PST.

I, the undersigned parent/guardian, agree to the following for my child’s volunteering work at the 75th Oregon Agate and Mineral Annual Show at OMSI's Auditorium, between the February 23rd to the March 1st, 2026.

Self-Sufficiency: My child must bring and provide their own medication, food, and water. OAMS provides no refreshments unless the volunteering shift exceeds 4 hours.

No Compensation: This is an unpaid position. Participation includes free admission to the show, as well as an entry into a prize draw but no monetary benefits or expense reimbursements.

School Requirements: The volunteer is responsible for obtaining school permission and ensuring any extra credit is processed by their teacher.

Transportation & Pickup: The parent(s) or the legal guardian(s) are solely responsible for the child’s transportation and timely pickup. OAMS provides no supervision or services once their work shift at the event ends.

Release of Liability: I hereby release OAMS, its board, members, and affiliates (including OMSI and Rice NW Museum) from all liability for injury, illness, or loss of personal property.
Emergency Contact Information

Please provide an additional point of contact strictly for emergency used only. In case of unforeseen emergency circumstances when parents or legal guardians are not reachable, we will then contact the following point of contact(s) listed below for assistance.
Emergency Point of Contact #1: (Please state the full name of that person)*

First NameLast Name
Emergency Phone Number for Contact #1:*
Please enter a valid phone number.
Relationship of Contact #1 to the student/volunteer:*
Emergency Point of Contact #2: (Please state the full name of that person)

First NameLast Name
Emergency Phone Number for Contact #2:
Please enter a valid phone number.
Relationship of Contact #2 to the student/volunteer:
Acknowledgment & Signature:

I, the undersigned parent/guardian listed above, have read and agree to all the terms and conditions.
Parent/Legal Guardian's Signature*

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Signed Date:*

MonthDayYear
Date
Thank you for completing this form for your student/volunteer.

Should you have any question, please feel free to contact the Chairwoman of this OAMS' event, Rose Cohen, at orrockhounder@gmail.com. Thank you for your participation.
Should be Empty:

Oregon Agate and Mineral Society's Liability Waiver Form For Minor.

Part I: About the Student/Volunteer Who Is A Minor -

Part II: To be completed by a parent or legal guardian of the participating volunteer -

Emergency Contact Information

Acknowledgment & Signature:

Thank you for completing this form for your student/volunteer.