Hilltown Land Trust · Gentle Birding with John Green

1) I have read the event's COVID guidelines above, and by checking below agree to the conditions for myself and everyone I am registering for. *

I agree

Name *

First Name

Last Name

Email Address *

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Phone Number

Address

Address Line 1

Address Line 2

City

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What is the total number of people in your party (including yourself) *

Additional guest #1

First Name

Last Name

Additional guest #2

First Name

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Additional guest #3

First Name

Last Name

We are offering this event with a sliding scale suggested donation of $0-25 per person, to be shared between Hilltown Land Trust and the Antiracist Collective of Avid Birders. Please consider a gift so that we can continue offering programs with an inclusive fee structure.

Donation amount:

$50

$25

$15

$0

$

Would you like to be added to our email list to learn about other upcoming events and news from HLT? *

Yes, please sign me up!

Not at this time.

In consideration of permission to participate in activities of Hilltown Land Trust and The Trustees of Reservations (referred to afterward as The Organizations): *

A. I fully understand and acknowledge that outdoor activities have inherent risks, dangers, and hazards and such hazards may exist during my participation. B. Participation in such activities may result in injury or illness, including COVID-19, and I hereby assume all risks, dangers, and responsibility for any losses or damages, whether caused in whole or in part by the negligence of the officers, staff, or agents of The Organizations, the negligence of the participants, the negligence of others, accidents, the forces of nature, or other causes. C. I voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify The Organizations and their officers, staff, and agents from all claims, actions, or losses for bodily injury, property damage, or otherwise, which may arise out of my participation in The Organizations' activities. I have read the above waiver and release, and by signing it agree. It is my intention to exempt and relieve The Organizations from liability for personal injury, property damage, or otherwise caused by negligence or any other cause.

I have read the above waiver and release, and by checking this box agree. It is my intention to exempt and relieve The Organizations from liability for personal injury, property damage, or otherwise caused by negligence or any other cause.

Publicity Waiver *

I consent that any narratives, film, photographs, videotape, or sound recordings of events in which I or any minors in my party may be participating may be used by The Organizations and their sub-grantee partners, or the AmeriCorps program, including TerraCorps, the Massachusetts Service Alliance, the National and Community Service Board, or any other AmeriCorps programs in the state, in order to publicize AmeriCorps, Massachusetts Service Alliance, or TerraCorps events, programs, and service day activities, or in any other ways they see fit.

Yes, I give my consent

No, I do not give my consent