Name
(Required)
First
Last
Email
(Required)
Zip code you reside in
ZIP Code
Which site walk are you signing up to attend? (you may choose more than 1)
(Required)
Belle Isle Marsh Reservation, May 23, 8 a.m. - AT CAPACITY, join waitlist
Montague Plains WMA, May 29, 7:15 p.m.
Muddy Brook WMA, May 30, 7:15 p.m.
Frances Crane WMA, June 27, 9 a.m.
Herman Covey WMA, June 28, 7:30 p.m.
Consent
If I am injured or suffer any illness or disease while residing at and/or participating in programs of MassWildlife, except as may be caused by the grossly negligent or reckless conduct of MassWildlife and their agents, employees, and volunteers, I agree to hold MassWildlife or their agents, employees, volunteers, or the host site harmless for said injury, illness, or disease.
In the event of an emergency, I hereby give permission to a physician to hospitalize, secure proper anesthesia, or to order injection or surgery, or other medical procedures required in an emergency situation.
I give consent for the Massachusetts Division of Fisheries and Wildlife (hereinafter MassWildlife), to provide medical attention, transportation and emergency medical services as warranted by the circumstances.
I am in good physical condition, and am not aware of any disease or injury that would be aggravated or result in my being incapacitated or injured during any program participation except as signed herein.
I further understand and agree to abide by the general rules of conduct prescribed for the guests of MassWildlife and violations may results in a denial of privileges, a forfeiture of all fees paid, and immediate removal from the hosting property.
I, agree that photographs or video taken of me during the event may be used in future materials describing and/or promoting the program or MassWildlife in print, website, or social media.
By signing my name below, I attest I have read this release, understand it affects legal rights and responsibilities, and agree to the terms & conditions. I waive any claims arising while participating in the programs of MassWildlife.
I agree to the Liability and Photo Release Waiver.
Electronic Signature
Are there individuals under 18 joining you? How many?
(Required)
Please enter a number from
0
to
10
.
Liability and Photo Release Waiver
(Required)
If my child is injured or suffer any illness or disease while residing at and/or participating in programs of MassWildlife, except as may be caused by the grossly negligent or reckless conduct of MassWildlife and their agents, employees, and volunteers, I agree to hold MassWildlife or their agents, employees, volunteers, or the host site harmless for said injury, illness, or disease.
In the event of an emergency, I hereby give permission to a physician to hospitalize, secure proper anesthesia, or to order injection or surgery, or other medical procedures required in an emergency situation.
I give consent for the Massachusetts Division of Fisheries and Wildlife (hereinafter MassWildlife), to provide medical attention, transportation and emergency medical services as warranted by the circumstances.
My child is in good physical condition, and am not aware of any disease or injury that would be aggravated or result in my being incapacitated or injured during any program participation except as signed herein.
My child further understands and agrees to abide by the general rules of conduct prescribed for the guests of MassWildlife and violations may results in a denial of privileges, a forfeiture of all fees paid, and immediate removal from the hosting property.
I, agree that photographs or video taken of my child during the event may be used in future materials describing and/or promoting the program or MassWildlife in print, website, or social media.
By signing my name below, I attest I have read this release, understand it affects legal rights and responsibilities, and agree to the terms & conditions for my child. I waive any claims arising while participating in the programs of MassWildlife.
I agree to the Liability and Photo Release Waiver.
Electronic Signature
(Required)
How did you hear about this event?
MassWildlife newsletter
MassWildlife social media
Family/friend
Local news
Community organization (library, bird club, etc.)
Other
Would you like to subscribe to MassWildlife’s monthly e-newsletter to learn about other upcoming events and wildlife conservation projects?
Yes
No
This event will include walking at a comfortable group pace on uneven ground. Do you need any special accommodations to have a positive experience with us?