SOLV Programs

Beach and Riverside Cleanup

Team Up for Watershed Health

Volunteer Action Training

We Need You! Become a SOLV Member

We rely on supporters like you to help us achieve clean water, stronger communities, and a better future for Oregon.

Registration & Waiver For Project Oregon

You have chosen to participate at Protect Native Habitat and Wildlife at Mt. Tabor Park on 10/30/2010

To register, you must complete both the Volunteer Information and Waiver & Safety Information sections of this form. Please note that SOLV removes the online waiver form from the registration page 3 days before tree plantings and the Spring Beach Cleanup and one day before other projects.

- Over 18:  Each volunteer over 18 should fill out his/her own volunteer & waiver & safety sections of this form

- Under 18:   A volunteer under 18 can register themselves, but must have a parent or guardian complete the waiver & safety sections of the form

- Families:   Each volunteer over 18 (parent or guardian) must register separately. One parent or guardian can list a group of minors in the space provided under Waiver & Safety Information.

- Organized Groups:  If your group is registered below, each group member over 18 must fill out his/her own volunteer & waiver & safety sections of this form. If the group name is not listed please wait to register and contact your group leader. For group members under 18, an authorized adult should complete the Volunteer Information section for themselves, then list the minors in the space provided below under waiver & safety Information.

* = required field

Volunteer Information
Prefix: *
First Name: *
Last Name: *
Organization:
Employee ID:
Address: *	* Home Business
City: *
State: *
Zip: *
Phone: *	* Home Business Cell - - ext.
E-mail: *	* Home Business
Confirm Email: *

ORGANIZED GROUP INFORMATION Organized groups (except families) can register with SOLV, making it easy for leaders and members to keep track of their group. Group leaders Please complete this form. A staff member will contact you to confirm details so that members of your group can easily select what group they belong to.
If you are a group leader and registering a group, Enter the name of the group	Group name
Total number you are registering (including self):
Group members If your group is listed in the drop down list below, please choose it and then complete the VolunteerInformation above. If the group name is not listed please wait to register and contact your group leader.
I am signing up as part of this group

Questions and Comments: (25 words or less)

Would you like to learn about future SOLV activities? (SOLV NEVER distributes your contact information)
Sign up for monthly E-Updates
Please do not contact me

How did you hear about this event?

Please note that SOLV removes the online waiver form from the registration page 3 days before tree plantings and the Spring Beach Cleanup and one day before other projects.

SAFETY INFORMATION

Safety Information For SOLV Projects

Plan for the weather with layers of clothing, sunscreen, rain gear, etc.
Wear gloves and sturdy shoes.
Work with a partner and watch out for each other's safety.
Watch out for other volunteers' safety, especially when working close together.
Pace yourself, don't overexert.
Take breaks, rest, don't work continually. Drink water, eat a snack.
Follow common sense practices when lifting heavy items: use your knees, not your back.
Fill collection bags only 2/3 full, especially when handling heavy items.
Be sure that you are physically capable of what you intend to do before you attempt it; ask for help if you need it.
Watch for any heavy equipment, trucks or winches that might be used on-site.
Watch for poison oak, poison ivy, Giant Hogweed, or other plants to which you may be allergic. 
Wear heavy gloves, long sleeves and long pants around blackberry plants.
Leave the site if hazardous conditions, such as disturbed bee hives exist, especially if you have an allergy or are otherwise susceptible to the conditions.
Use sunscreen and mosquito repellant when outdoors

Safety tips for youth volunteers

Confirm age restrictions for the project site.
Review safety information and rules? with youth before arriving at the site.
Supervise youth activities on site.

When working on the beach

Watch for sneaker waves: never turn your back on the ocean.
Stay away from logs in or near the surf.
Use caution on steep banks and cliffs.  Follow posted safety information.

When working around water

Use caution around swift running water.
Wear a life jacket when using a boat or raft.

When working near traffic

Wear a safety vest.
Stay off the roadway.
Stop often to orient yourself and make sure you're not wandering close to traffic.

When working on steep slopes or banks

Make sure your footing is stable. 
Stay away from cables that may be used to haul items upward.

When encountering hazardous items: Don't touch, Mark the item and contact the Event Coordinator

Identify each item before you touch it.  If you are uncertain about an item, leave it alone.
Do not touch medical waste or hazardous materials, including syringe needles, bandages and condoms.  
Don't touch containers with unidentified liquid or material in them.
Don't touch propane gas tanks.  They may be used to manufacture illegal drugs and can explode.

In case an accident occurs

Know where the first aid kit is.
Know where the nearest medical facility is located.
Know where the nearest phone is.  If it's a cell phone, make sure you have a dial tone.  Dial 9-1-1 if emergency medical care is required, know your location.

WAIVER INFORMATION

This is a waiver and release.  Please read it carefully before clicking to agree or not.  I, the undersigned, enter this Release and Waiver of liability, Assumption of Risk, and Indemnity Agreement (�Agreement�) for the benefit of myself, my personal representatives, next of kin, heirs, successors, and assigns.  
 
I make this Agreement for the benefit of SOLV, other individual volunteers, project coordinators, sponsors, suppliers, supporters, and all private and public land owners on whose property the project described above may be located (collectively the �Released Parties), including, without limitation, the Released Parties employees, agents, personal representatives, next of kin, heirs, successors and assigns.

I make this Agreement in consideration of the Released parties providing me with the opportunity to participate as a volunteer in this project.

I understand that the Project may include dangerous or hazardous activities and that the Project may take place on a location or under conditions that may be dangerous to me.

I accept full personal responsibility for all risks arising from or relating to this Project.

My participation in this Project is completely voluntary and I have neither received nor expect to receive any compensation for my participation in it.

I agree to read, listen to and follow all safety instructions and procedures presented in conjunction with this Project and to use my best judgment based upon my physical and mental abilities at all times, and to immediately terminate participation in this Project if activities become too strenuous, difficult or hazardous for me.

I agree to waive all liability of the Released parties, hold them harmless, indemnify them, discharge them, covenant not to sue them, and reimburse them for any liability, claims, sums,
costs, or other expenses on my account that may be caused in whole or in part by my participation in the Project.

I further agree that, despite this Release and Waiver of liability, Assumption of Risk and Indemnity Agreement, if I or anyone on my behalf makes a claim against any of the Released Parties, I will indemnify, save, and hold harmless each of the Released Parties from any litigation expenses, attorneys� fees, loss, liability, damage, or costs that any Released Party may incur as a result of such action.

I agree that this Agreement shall act as a complete bar against all actions or claims that I might otherwise bring against the Released Parties, including negligence claims, arising from or related to this project.

I have read this Agreement, fully understand its terms, understand that I have given up substantial rights by clicking to agree, and have clicked to agree freely and without any inducement or assurance of any nature.  I intend this Agreement to be a complete and unconditional release of all liability to the greatest extent allowed by law, and I further agree that if any portion of this Agreement is held invalid, then the balance of the Agreement shall continue in full force and effect.

I understand that a photographer may be present to photograph the activities at the Project and that I may be photographed while participating in the Project.  I agree that I will contact the photographer if I do not wish to be photographed.

I hereby grant SOLV the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included.  I hereby release Photographer and his/her legal representatives and assigns and SOLV from all claims and liability relating to any such photographs.

PLEASE READ CAREFULLY BEFORE AGREEING

If you want to use the electronic waiver choose Either option1 Or option2 Or option3.

If you want to skip the electronic waiver select Yes to skip the waiver. Skipping the electronic waiver means that you will need to complete a paper waiver at the time of the event.


1 I am over 18 and by entering my name to the right I agree to both the waiver and safety information.	Your name

2 I am over 18 and by entering my name to the right I agree to both the waiver and safety information. I am also authorized to accept this waiver of liability for the minors under 18 listed below my name. (SOLV needs the names of participants under 18 for the purposes of waiving liability only and will not use this information in any other way.)	Your name Number of under 18 volunteers Names of under 18 volunteers Age Range of under 18 volunteers

3 I am under 18 and my parent or guardian has read the safety information and is entering his/her name to the right for waiver of liability purposes.	Over 18 Parent or Guardian name

*Skip electronic waiver. If you select yes you are required to fill out a paper waiver at the time of the event.**
Please note: volunteers may be required to fill out an additional waiver for the school/SOLV partner on site.

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