Shenango River Watchers

Release from liability form - one for each participant

By signing this form, I, for myself and an minor children for whom I am responsible, acknowledge the risk of injury relating to participation in clean up and trail maintenance activities and I agree to release Shenango River Watchers, and any landowner on whose property I am volunteering, from any liability for property damage, injury, dismemberment or death to myself or any minor children, during this activity.

I authorize Shenango River Watchers to photograph me and any minor children for whom I am responsible during this activity and to utilize my and their likeness in its print or digital publications.

PARENT/GUARDIAN NAME (If under 18):

If you are a parent or guardian signing for a minor, please read the statement and sign below. I affirm that I am the parent/guardian of the above named participant/volunteer, and I will be responsible for the safety and actions of the child I am signing for.

Shenango River Watchers liability form

Rev. 3-2-2016