HomeMy Public PortalAbout484695GREAT RIVERS GREENWAY/TRAILNET
METROPOLITAN ST. LOUIS SEWER DISTRICT
RELEASE OF LIABILITY
The undersigned participant in the Confluence Trash Bash event scheduled for the date of
March 23, 2013 at the Old Chain of Rocks Bridge/Creve Coeur Park/St. Ferdinand Park covenants that
he/she shall assume all risk and liability arising in conjunction with the above activity and shall, save,
hold and keep harmless at all times Great Rivers Greenway, St. Louis Audubon Society,Trailnet,
Metropolitan St. Louis Sewer District (MSD), its Board of Directors, Officers, employees, and partners
against any loss, damage, penalty, cost and expense, judgments and decrees that may accrue or be
incurred by reason of any accident, loss, wrong, injury or damage to person, life or property in or
above referenced area(s) arising out of the above described activities. In addition, we the undersigned
do hereby approve the use of pictures used by Great Rivers Greenway, Metropolitan St. Louis Sewer
District, and partners, in publications, local newspapers or other publications deemed appropriate.
Signed: _______________________________
(participant)
Name: ________________________________
(print legibly)
Address: _______________________________
(street address)
______________________________________
(city, state, zip code)
Phone: ________________________________
E-mail: _______________________________
*Must also be signed by parent or legal guardian, if participant is a minor.
Signed: ________________________________
(Parent or Legal Guardian)