Site: Festival Event Sites listed in the 2004, Great River Birding Festival Program
Date of Activity: May 14th, 15th, and or 16th
Activity: Great River Birding Festival
Activity Leader: Audubon & Mississippi Valley Partners

In consideration of my participation in the National Audubon Society, Inc., (Audubon) and Mississippi Valley Partners activities at the above-described site, I state and agree as follows:

I agree to follow the instruction of the activity leader(s) named above. I have been instructed in and understand the use of equipment I am to use. I understand that my participation in the activity may involve sustained strenuous physical activity. I am in good health and am aware of no physical problem or condition which will limit or interfere with my ability to participate in the activity. I also understand that medical attention may not be readily available.

I agree that I am participating in the activity at my own risk, and acknowledge that Audubon and Mississippi Valley Partners have made no warranty or representation, expressed or implied, regarding the safety of conducting this activity at this site.

I agree to waive and release Audubon and Mississippi Valley Partners and their officers, directors, and employees from any and all claims, liabilities, losses, damage, costs and expenses resulting from any injury to me or damage caused by my failure to follow instruction.

By signing below, I acknowledge that I have thoroughly read and understand this form and that the statements I have made are all true.

Signature of Participant


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