When

Saturday, April 22, 2017 from 10:00 AM to 12:00 PM EDT
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Where

Cayuga Creek Depew

63 Calumet St.
Depew, NY 14043

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Contact

Wendy Paterson
Buffalo Niagara RIVERKEEPER
716-852-7483 X26
wpaterson@bnriverkeeper.org

Spring Sweep 2017 Volunteer Registration - Cayuga Creek Depew

Thank you for your interest in volunteering for our annual Spring Shoreline Sweep: the largest single day cleanup in Western New York. In an effort to reduce paper waste we have included your waiver in the registration form. Note a separate registration link to attend the Volunteer Appreciation Party is in your confirmation email.

* Required information

Personal Information

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    Are you a student?

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    Are you the primary contact of your household?

  • If you are bringing a group of volunteers, be sure to input the number of people here as 'guests'. These guests will not need to register separately online. Guests will need to fill out a paper waiver.

Number of Guests: Information

You may add a maximum of 19

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Business Information

MEDICAL RELEASE, PHOTO RELEASE, & LIABILITY WAIVER FORM

  • Voluntary: I acknowledge that my participation in the Activity covered by this form is strictly voluntary. I will select the activities in which I will participate. I have consulted a medical professional, if necessary, and will only participate in activities that are within my physical capabilities.

  • Activities and Associated Risks: I acknowledge entering the water is strictly prohibited unless directly instructed by a Staff Member and that my participation in this activity could include but is not limited to: (a) clean up and/or removal of trash items from potentially slippery stream and river banks or near highways, roads or other areas of high vehicular traffic, (b) cutting vegetation with sharp tools, (c) handling of sharp items, (d) standing or walking near to or on the banks of a stream or river that may contain harmful pollutants, bacteria, or parasites, and (e) carrying or lifting of potentially heavy items on stairs or uneven ground.

  • Assumption of Risks: I acknowledge that work near streams, creeks and rivers is inherently dangerous and that any and all risks associated with such work are voluntarily assumed. Such risks include but are not limited to: (a) cuts and abrasions, (b) loss of personal property such as watches, jewelry or cell phones, and (c) serious bodily injury including drowning or death.

  • Release of Liability: I hereby release and forever discharge Buffalo Niagara RIVERKEEPER and the sponsors, organizers and their directors, officers, trustees, employees, representatives, or agents, volunteers, and site property owners (the “Released Parties”) from any and all liability, causes of actions, claims, and/or demands that arise in any way out of my participation in the Activity, including claims for negligence, to the fullest extent authorizes by law.

  • Indemnity: I further agree to indemnify and hold harmless Released Parties against all actions or claims including costs and reasonable attorneys’ fees arising from any injuries, death, or other damages or losses, resulting from my participation in the Activity. I further agree to hold the Released Parties harmless against any and all claims for my own negligence. I also agree and acknowledge that the terms of this agreement will be binding on my estate, heirs, assigns and my administrators, executors, or personal representatives.

  • Medical Treatment: If I am injured during the Activity, the organizers or volunteers of the Activity assume no responsibility to render medical care. If an Organizer or Volunteers renders medical care, the organizers and volunteers are not admitting any liability or duty to provide or to continue to provide any such services and that such action is not a waiver by the Released Parties of any rights under this Agreement. I acknowledge that I am financially responsible for costs of transport to a medical facility and medical treatment costs resulting from my injury. It is my responsibility to seek appropriate medical care and to notify the Activity organizers. I understand that this waiver will have no bearing on any workers compensation claims that I may make as a result of my participation in this event.

  • Promotion: I understand that I may be photographed during the activity and hereby grant permission for my name, image, likeness, and voice to be used by Buffalo Niagara RIVERKEEPER, any of the Co-Sponsors, and/or Activity Organizers for any legitimate purpose in any media or promotional materials now or hereinafter developed.

  • Severability: I agree that the purpose of this agreement is that it shall be an enforceable release of liability and indemnity as broad and inclusive as is permitted by New York State law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.

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    I HAVE READ AND UNDERSTAND THE CONTENTS OF THIS DOCUMENT. I UNDERSTAND THIS DOCUMENT AFFECTS MY LEGAL RIGHTS AND ANY QUESTIONS I MAY HAVE HAD ABOUT THIS DOCUMENT WERE ANSWERED TO MY SATISFACTION.

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    I understand that I am electronically signing this waiver as an individual and all other members of my group will need to fill out a copy of the waiver form I will be receiving in my confirmation email.

Additional Information

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    Are you 18 years or older?

  • If no, you must be accompanied by a parent or guardian and fill out a paper waiver that you will receive in your confirmation email.

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