Small Animal Emergency Sheltering Class (Level 2) on March 25 & 26, 2023 at Flagler Humane Society

I am at least 18 years old

• Yes
• No

I have submitted proof of completion of the Awareness (Level 1) Small Animal Emergency Sheltering Class to scarriere@spcaflorida.org (or confirm that I have taken the class in the last 2 years)

• Yes
• No

Promo Code

Fee

I acknowledge that this Waiver and Release of Liability (WRL) form will be used by SPCA Florida and Florida State Animal Response Coalition (FLSARC), the sponsors, and/or hosts of the event in which I may participate and it will govern my actions and responsibilities at said event.

In consideration of my registration and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, release, and discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: SPCA FLORIDA and FLORIDA STATE ANIMAL RESPONSE COALITION, and their directors, officers, employees, volunteers, representatives and agents, the event sponsors and event volunteers, (B) indemnify and hold harmless all entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during this event.

I understand that at this event or related activities I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and/or assigns.

This Liability Waiver shall be construed broadly to provide a release and waiver to the maximum extent permissible under the applicable law.

By checking “YES” and submitting this registration, I acknowledge that I have read, understand, accept, and digitally signed this document under my own free will.

I agree to the contents of the Waiver and Release of Liability statement.

• YES