Coordinators

Water Action Volunteers in the field

Sample Liability Waiver

 

Below you will find a sample liability waiver that trainees or their parent/guardian must sign in order to participate in the program. You can copy and paste the waiver into your word processing program and adapt to meet your local program's needs. Alternatively, click here to open a pdf file containing the most recent (2015) liability waiver and photo release used by the WAV program.

 

LIABILITY WAIVER

I the undersigned, being the volunteer involved in the Water Action Volunteers/ __[add your local program name here]__ Stream Monitoring Program (hereinafter referred to as the Program) or being the parent or legal guardian of such a volunteer in the Program, in consideration of my or another’s participation in the Program, I hereby, for myself and any volunteer for whom I am a parent or legal guardian release, discharge, hold harmless, and forever acquit the State of Wisconsin, the County, the City, the University of Wisconsin Extension-Cooperative Extension, the Wisconsin Department of Natural Resources, Water Action Volunteers Program, __[add local program name here]__, or other local sponsors, and their officers, agents, representatives and employees from any and all actions, causes of action, claims or any liabilities whatsoever, known or unknown now existing or which may arise in the future, on account of or in any way related to or arising out of my participation in the Program. Further, I assume all liability of any non-participants who accompany me.

 

I understand that I am a volunteer for all purposes, including workers compensation, and am not an employee of the State of Wisconsin, the County, the City, the University of Wisconsin Extension-Cooperative Extension, the Wisconsin Department of Natural Resources, Water Action Volunteers Program, __[add local program name here]__, or other local sponsors, and their officers, agents, representatives and employees, and as such they are not responsible for injury or death of myself and any volunteer for whom I am a parent or legal guardian which may occur while acting as a volunteer.

 

Participant’s name (please print):

Participant’s signature:

Participant’s age:

Signature of participant’s parent or legal guardian (if under 18):

Date:

 

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