Lowell Parks & Conservation Trust

First Name*

Last name*

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Are you monitoring with anyone? If yes, include their name:

Cell Phone #*

Emergency Contact Name*

Emergency Contact Phone Number*

Returning volunteers- what is your favorite thing about monitoring and/or the herring migration? New volunteers- why do you want to monitor?*

Would you be willing to be featured on LP&CT's social media (photo and quote) to raise awareness about the herring migration and monitoring program?*

Have you been a monitor in the past?*

How many time slots can you commit to every week until early to mid June when the season ends?*

Time slots are hourly, but you only need to monitor for ten minutes within that hourly slot.

Lowell Parks & Conservation Trust Waiver of Liability

This release and Waiver of Liability (the “Release”) in favor of THE LOWELL PARKS & CONSERVATION TRUST (LP&CT), a non-profit corporation organized and existing under the laws of the Commonwealth of Massachusetts, USA, its directors, officers, employees, volunteers, interns and agents (collectively, “The Lowell Parks & Conservation Trust”)(“LP&CT”). I, the Participant, voluntarily participate with The Lowell Parks & Conservation Trust (LP&CT) for water quality monitoring, herring monitoring, invasive species removal, river clean-ups, park stewardship events and/or office work. I understand that the activities may include, but are not limited to, moving and lifting heavy objects; working and inhabiting environments that may be without power or sanitation; coming in contact with contaminated water. I hereby freely and voluntarily, without duress, execute the Release under the following terms: 1. Waiver and Release. I, the Participant, release and forever discharge and hold harmless The Lowell Parks & Conservation Trust (LP&CT) from any claim or liability that I, the Participant, may have against The Lowell Parks & Conservation Trust (LP&CT) with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation. I also understand that The Lowell Parks & Conservation Trust (LP&CT) does not assume any responsibility or obligation to provide financial or other assistance, including, but not limited to medical, health, or disability insurance, in the event of injury, illness, death or property damage (see insurance requirements below). 2. Insurance. The Lowell Parks & Conservation Trust (LP&CT) does not carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Participant. EACH PARTICIPANT IS EXPECTED AND ENCOURAGED TO CARRY PERSONAL LIABILITY OR HEALTH INSURANCE PRIOR TO REGISTRATION. 3. Medical Treatment. Except as otherwise agreed to by The Lowell Parks & Conservation Trust (LP&CT) in writing, I hereby release and forever discharge The Lowell Parks & Conservation Trust (LP&CT) from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with The Lowell Parks & Conservation Trust (LP&CT). 4. Assumption of Risk. I understand that my time with The Lowell Parks & Conservation Trust (LP&CT) may include activities that may be hazardous to me, including, but not limited to, loading and unloading of trash, the possible contact with poisonous plants, working in environments that may be without power or sanitation and/or coming in contact with contaminated water. I recognize and understand that my time with The Lowell Parks & Conservation Trust (LP&CT) may, in some situations, involve inherently dangerous activities. I hereby expressly and specifically assume the risk of injury or harm in these activities and release The Lowell Parks & Conservation Trust (LP&CT) from all liability for injury, illness, and death or property damage resulting from the activities of my time with The Lowell Parks & Conservation Trust (LP&CT). 5. Photographic Release. I grant and convey unto The Lowell Parks & Conservation Trust (LP&CT) all right, title and interest in any and all photographic images and video or audio recordings made by The Lowell Parks & Conservation Trust (LP&CT) during my time with The Lowell Parks & Conservation Trust (LP&CT), including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings. 6. Other. I understand that it is my desire to participate in projects or activities sponsored by The Lowell Parks & Conservation Trust (LP&CT). I undertake in said activities without compensation and that, I acknowledge that I am not acting as an employee of The Lowell Parks & Conservation Trust (LP&CT). I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE. A copy of your responses will be emailed to the address you provided. Please WRITE YOUR FULL NAME

Concord River Alewife Monitoring Registration

Concord River Alewife Volunteer Monitoring Program Registration

Instructions: Please use this form to register for the Lowell Parks & Conservation Trust’s Concord River Alewife Monitoring program.

Lowell Parks & Conservation Trust