Volunteer Liability Waiver

Fields marked with an asterisk (*) are required.

This Release and Waiver of Liability (the “Release”) is executed on this day

in favor of Black Rock Forest, a non-profit corporation, their directors, officers, employees, and agents (collectively “Black Rock Forest”).

The Volunteer is agreeing to engage in the activities related to being a volunteer (the “Activities”) for Black Rock Forest and hereby freely, voluntarily, and without duress executes this Release under the following terms:

Release and Waiver: Volunteer does hereby release and forever discharge and hold harmless Black Rock Forest and its successors, and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the Volunteer’s Activities with Black Rock Forest.

Volunteer understands that this Release discharges Black Rock Forest from any liability or claim that the Volunteer may have against Black Rock Forest with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Volunteer’s Activities with Black Rock Forest, whether caused by the negligence of Black Rock Forest or its officers, directors, employees, agents or otherwise. Volunteer also understands that Black Rock Forest does not assume any responsibility for or obligation to providing financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

Medical Treatment: Volunteer does hereby release and forever discharge Black Rock Forest from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer’s Activities with Black Rock Forest.

Assumption of the Risk: Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases Black Rock Forest from all liability for injury, illness, death, or property damage resulting from the Activities.

Insurance: Black Rock Forest does not carry or maintain health, medical, or disability insurance for any Volunteer. Each Volunteer is encouraged to obtain his or her own medical or health insurance coverage.

Photographic Release: Volunteer does hereby grant and convey unto Black Rock Forest all rights, title, and interest in any and all photographic images and video or audio recordings made by Black Rock Forest during the Volunteer’s Activities with Black Rock Forest, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Other: Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of New York and that this Release shall be governed by and interpreted in accordance with the laws of the State of New York. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

IN WITNESS WHEREOF, Volunteer has executed this Release as of the day and year written above.