WaterWorks Participant Waiver- Athens Renaissance

WaterWorks Participant Waiver
We’re excited to see you at WaterWorks!

This waiver works whether you’re attending alone, sending your child, or participating together.

Parents/guardians must complete the form for minor participants.
Adult Participant/Parent/Guardian Information
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Who will be participating?
Please select the date that you or your minor will be participating in the field trip.
How many dependents will be participating?
Minor Participant Information
Minor 1 Name

First NameLast Name
Birth Date

MonthDayYear
Minor 2 Name

First NameLast Name
Birth Date

MonthDayYear
Minor 3 Name

First NameLast Name
Birth Date

MonthDayYear
Photo Release Agreement
I hereby grant AMRV RC&D and its legal representatives permission to use the likeness of myself or my child/minor dependent in any photograph, video, or other digital media in all forms of publication, including but not limited to print, television, web-based platforms, Instagram, Facebook, YouTube, and other promotional materials, without payment or other consideration.
Alabama's Mountains, Rivers and Valleys RC&D Waiver and Release of Liability

WaterWorks Center for Environmental Education is a program of Alabama's Mountains, Rivers and Valleys Resource Conservation and Development Council.
Please Read Before Signing

I hereby give my approval for myself or my child/minor dependent to participate in any and all activities prepared by Alabama's Mountains, Rivers and Valleys RC&D, Inc. (AMRV RC&D) during the selected class or event. In exchange for acceptance of this participation, I assume all risk and hazards incidental to the conduct of these activities, and release, absolve, and hold harmless AMRV RC&D, along with its officers, agents, representatives, staff, and affiliates, from any and all liability for injuries or damages arising out of traveling to, participating in, or returning from class sessions or program activities.

In case of injury, I hereby waive all claims against AMRV RC&D, including all staff, participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. I acknowledge that there is an inherent risk of injury in recreational and outdoor activities, including but not limited to hiking and canoeing. Such risks may include, but are not limited to, fractures, paralysis, or death.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty:

WaterWorks Participant Waiver

Adult Participant/Parent/Guardian Information

Minor Participant Information

Photo Release Agreement

Alabama's Mountains, Rivers and Valleys RC&D Waiver and Release of Liability