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Any location 1- Churn Creek section 1 2- Churn Creek section 2 3- Churn Creek section 3 4- Churn Creek section 4 5- Clover Creek section 5 6- Clover Creek section 6

Churn Creek, Section 1: Oasis Road to Hwy 299, includes Salt Creek & Dry Gulch Creek

Churn Creek, Section 2: Hwy 299 to Hwy 44, includes small section of Boulder Creek

Churn Creek, Section 3: Hwy 44 to Churn Creek Rd/S. Bonneyview Rd, includes Little Churn Creek

Churn Creek, Section 4: Churn Creek Bottom to Sacramento River

Clover Creek, Section 5: Hwy 44 to Rancho Road

Clover Creek, Section 6: Rancho Road to Sacramento River

Each volunteer age 18 and over must individually fill out the registration information below. Parents/guardians may list the name(s) and age(s) of child(ren) in the space provided below and accept the waiver of liability and assumption of risk on their behalf along with their own acceptance.

COMMUNITY CREEK CLEANUP - SEPTEMBER 6, 2008 WAIVER OF LIABILITY AND EXPRESS ASSUMPTION OF RISK (PLEASE READ CAREFULLY) I agree as follows: 1. I am volunteering my services for the 2008 Community Creek Cleanup ("the Event") on a voluntary basis without anticipation of any payment; 2. I will perform assigned tasks that are within my physical capability to the best of my ability, and I will not undertake tasks that are beyond my ability; 3. I will not participate if under the influence of alcohol or any drug that could impair my physical or mental abilities. 4. I am familiar with the safe operation and use of equipment and tools that I may utilize in connection with the Event, and I will not undertake to use any equipment or tool with which I am unfamiliar or do not know how to operate safely; 5. I have received appropriate instruction regarding this Event, including appropriate safety and emergency procedures, and that I fully understand those instructions and that I agree, after proper inspection, to use only the supplies, tools and equipment provided by the Event organizers; 6. I will perform only those tasks assigned, observe all safety rules, and use care in the performance of my assignments; 7. I acknowledge that Event organizers will be taking photographs of the Event and Event participants, that Event organizers may use said photographs for promotional materials and other operational activities freely and without any compensation or further notice; 8. I specifically acknowledge that I am engaging in this activity as a volunteer, at my own request and risk, and not as an employee, agent, official, officer, or representative of any Event sponsor, and further acknowledge that I am not entitled to any compensation, benefit, or insurance coverage from Western Shasta Resource Conservation District, U.S. Bureau or Land Management, City of Redding, County of Shasta, Redding Rotary Club, California Department of Fish and Game, Waste Management or any Event site leader, promoter or sponsor, nor will I make any such claim. I understand and agree that neither Western Shasta Resource Conservation District, U.S. Bureau or Land Management, City of Redding, County of Shasta, Redding Rotary Club, California Department of Fish and Game, Waste Management or any Event site leader, promoter or sponsor nor any of their donors, officers, directors, employees, agents, or representatives (hereinafter collectively referred to as “Released Parties”), may be held liable or responsible in any way for any injury, death, or other damages to me or my family, heirs, or assigns that may occur as a result of my participation in the Event, or as a result of product liability or the negligence of any party, including Released Parties, whether passive or active. I understand that cleaning up creeks involves certain inherent risks, including but not limited to, the risks of possible injury, infection, or loss of life as a result of contact with needles, condoms, metal objects, burning embers or other hazardous materials, wild animals, poisonous plants, or from over-exertion or environmental conditions, including but not limited to flooding, rock slides or dangerous terrain. Despite these risks, I still choose to proceed in such activity. There is no physical or health limitation that prevents me from safely participating in this Event. In consideration for being allowed to participate in this activity I hereby personally assume all risks whether foreseen or unforeseen, in connection with the Event for any harm, injury, or damage that may befall me as a participant. If I should become injured while participating in the Event, I authorize any physician or surgeon licensed in the State of California to perform emergency treatment as in his or her sole judgment may be necessary. I further declare that I am over the age of eighteen and legally competent to sign this liability release, or that I have acquired the written consent of my parent or guardian. I understand that the terms herein are contractual and not a mere recital, that this instrument is legally binding, and that I have signed this document of my own free act. I hereby release and hold harmless the Released Parties from any claim or lawsuit for personal injury, property damage, or wrongful death by me, my family, estate, heirs or assigns, arising out of participation in the Event, including both claims arising during the activity and after I complete the activity and including claims based on negligence of other participants or the Released Parties. I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK. PLEASE PRINT LEGIBLY Participant's Name: Address: Phone: Signature of Participant: Date: PREFERRED LOCATION: IF PARTICIPANT IS UNDER 18, THE PARENT (OR GUARDIAN) MUST SIGN. I am the parent or legal guardian of the above participant and he/she has my permission to participate in this Event. I have read and agree to the provisions stated above. Further, I understand and agree that the sponsors and organizers of the Event are not responsible for supervision of minor participants and that if I allow the minor to participate without my supervision, I assume all the risks from such participation. Signature of Parent or Legal Guardian: Date: Printed Name: Address: Phone:

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK (PDF VERSION).

Please read through our safety requirements to make this a fun and safe event!

I have read and understand the Safety Requirements

Name(s) and ages of all children who will attend: