2022 Mission Day Participant Release Form

Please fill out this form and click submit prior to your participation in the Mission Program at The Land.
Rules and Recommendations for Onsite Participation

In order to promote the health and safety of all participants at The Land, the following guidelines for participation are required. 

Volunteers must complete this form prior to volunteering at The Land.
Volunteers will stay on designated pathways, respect wildlife, and leave all native plants on the prairie undisturbed unless otherwise instructed by a volunteer leader from The Land.
The following guidelines are highly recommended:

Due to the high activity of rattlesnakes on the property, it is highly recommended that all persons wear long pants and boots while at The Land.

Due to the high temperatures at The Land during the summer months, it is highly recommended that all persons bring enough water to stay hydrated, sunscreen and a hat/sun glasses.
 
Contact Information

 
 
 
 
 
 
Local Emergency Contacts

Please provide the name and contact information of the person you would like us to contact in case of an emergency.
 
 
 
 
General Waiver and Release of Liability

In consideration of participating in onsite activities at The Land, including but not limited to volunteering: 

  • We/I, do for ourselves (myself and/or on behalf of my child participant if my child is not 18 years of age or older) do hereby release, forever hold harmless and indemnify The Land Corp. and employees for any damage, injury or death to myself or to any person or property, whether caused by their negligence or for any reason, in any way connected with my preparation or participation at The Land. 

  • We/I agree to assume any and all risks of injury, death, sickness, damage, and expense(s) which might be associated with or result from participation at The Land. 

  • We/I realize that the stated participant is voluntarily choosing to participate in onsite activities at The Land. 

  • We/I acknowledge that participating in onsite activities at The Land can be potentially hazardous and that We/I have made a voluntary choice to participate in those activities despite the risks they present. 

  • We/I realize that neither The Land nor any person besides participant is responsible for their personal belongings. 

  • We/I understand that participation at The Land will include a high level of physical exertion in an outdoor environment exposing the participant to potentially high temperatures. I also understand that their are rattlesnakes present on the property and hereby voluntarily and knowingly assume the risk of being onsite at The Land and accept sole responsibility for any injury or illness that may occur. 

  • We/I, the undersigned, have carefully read and understand this agreement and all of its terms. 

 
 
Permission to Publish Photographs

Please select all that apply.

Description

Please fill out this form and click submit prior to your participation in the Mission Program at The Land.