Sheridan Community Land Trust · Individual Release and Waiver of Liability 2022 v1

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The Participant/Volunteer is Under Age 18 or Guardianship?

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Participant/Volunteer First and Last Name

Required if completing this form for an individual Under 18 or Guardianship.

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Individual Release and Waiver of Liability
Participant and/or Volunteer

This Release and Waiver of Liability (“Release”) is executed by the individual signing below (“Individual”) in favor of Sheridan Community Land Trust (“SCLT”), a Land Trust existing under the laws of the State of Wyoming and each of its elected and appointed officials, employees, officers, agents, successors, assignees, participants and volunteers. SCLT frequently partners with other organizations such as non-profits, businesses, government entities, etc. (“Co-Host”). The terms of this Release apply to, and information will be shared with, the Co-Host(s).

The Individual desires to participate in SCLT events and/or work as a volunteer (“Activities” or “Activity”). This Release is valid from the date of the last signature through December 31 of the year. The Individual understands that the SCLT Activities may include physical labor, possible exposure to hazardous conditions, or other circumstances that could result in injury, and freely executes this Release without duress under the following terms:

Release and Waiver. INDIVIDUAL AGREES TO HOLD HARMLESS, INDEMNIFY, RELEASE, AND FOREVER DISCHARGE SCLT AND ALL OF ITS TRUSTEES, OFFICERS, AGENTS, EMPLOYEES, PARTICIPANTS AND VOLUNTEERS FROM AND AGAINST ANY AND ALL FUTURE CLAIMS, DEMANDS, OR CAUSES OF ACTION, ON ACCOUNT OF DAMAGE TO OR LOSS OF PERSONAL PROPERTY, OR PERSONAL INJURY, OR DEATH, WHICH MAY RESULT FROM INDIVIDUAL’S PARTICIPATION IN THESE ACTIVITES.

Assumption of Risk. Individual understands that Activities may involve hazardous work, and Individual understands that each Activity has its own inherent hazards and Individual hereby expressly and specifically assumes the risk of injury or harm from these Activities, and releases SCLT from all liability for injury, illness, death, or property damage resulting from Individual’s participation in the Activities. Individual further agrees to observe and abide by local, state, and federal law while participating in these Activities.

Insurance. The Individual understands that SCLT does not carry or maintain health, medical or disability insurance coverage for participants or volunteers.

Photographic, Audio and Digital Release. Individual hereby grants SCLT permission to use his/her/their likeness in a photograph, digital reproduction, written and verbal response(s) in any and all of its publications, including website entries and social media, without payment or any other consideration.

Medical Treatment. Individual does hereby release and forever discharge SCLT from any claim whatsoever which may arise on account of first aid, treatment, or service rendered in connection with SCLT Activities.

Release Scope. Individual expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Wyoming and that this Release shall be governed by and interpreted in accordance with the laws of the State of Wyoming. Individual agrees that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.

I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I MAY GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND CONSENT TO DO BUSINESS ELECTRONICALLY AND SIGN IT VOLUNTARILY WITHOUT INDUCEMENTS.

Guardian Release and Waiver of Liability
For Persons Under Age 18 and Persons Under Guardianship

I, as the Parent/Guardian of the above named (Individual), hereby give permission for the Individual to participate in SCLT Activities. I hereby certify that as the Parent/Guardian of the above Individual, I have carefully read the foregoing and acknowledge that I understand and agree to all of the above terms and conditions. I have had the opportunity to ask any and all questions regarding this Release. I am aware that by signing this Release, I assume all risks and waive and release certain substantial rights that I may have. I acknowledge that this Release is binding upon myself, my heirs, executors, administrators, and representatives in the event of my death or incapacity.

Please complete this form once per calendar year - thank you!

A Parent or Guardian must complete this form for an Individual Under 18 or Guardianship.

Version Date 01/01/2022