Volunteer Waiver & Safety Agreement

Acknowledgement of volunteer responsibility, Express assumption of risk and release of liability

  • Couchiching Conservancy Volunteer Program

    Date: January 1, 2021 to duration of participation in project
  • To: The Couchiching Conservancy

    I understand that during my participation as a volunteer, I may be exposed to a variety of hazards and risks, foreseen or unforeseen, involved in the activities of the project(s) I am involved with. The risks include, but are not limited to, the dangers of serious personal injury or property damage, or my death (“injuries and damages”) from exposure to the hazards of this property monitoring work. I understand that risks of such injury and damages are involved in participating as a volunteer and I appreciate that I may have to exercise extra care for my own person as well as for others around me in the face of such hazards.
  • In consideration of my acceptance as a participant in the Couchiching Conservancy’s Volunteer Program, I hereby waive, release and discharge The Couchiching Conservancy and its officers, directors, employees, contractors, agents, volunteers, and leaders from all claims for any such injuries and damages even though such injuries and damages may result from negligence.
  • MM slash DD slash YYYY
  • If you are a minor (under 18), your parent or legal guardian must also sign this release on your behalf
  • MM slash DD slash YYYY
  • Emergency Contact

    Please provide us with contact information and the person you would like us to contact in case of emergency
  • If you do not have an email please put 'None'
  • In case of an emergency, please contact
  • This field is for validation purposes and should be left unchanged.