Wild Waterway Rescue Challenge Wild Waterways Rescue Challenge 2023 Volunteer Info Name * Address * Address Street Address Street Address Apt./Building/Suite # Apt./Building/Suite # City City State AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip Zip Email * Phone * Event Choose your location. Location Cancelled. November 4. Baden Neighborhood Clean up. 8:30 am Registration. Clean up 9 am – noon. Location Cancelled. November 5. Academy/Sherman Park. 12:30 registration. Clean up 1-4pm. Emergency Contact Emergency Contact Name * Emergency Contact Phone * Group/Family Info I am a Member of a Group/Family * Yes No Name of Group/Family Family Member 1 Name Family Member 1 Age 18 or Older Under 18 Family Member 2 Name Family Member 2 Age 18 or Older Under 18 Family Member 3 Name Family Member 3 Age 18 or Older Under 18 Family Member 4 Name Family Member 4 Age 18 or Older Under 18 Family Member 5 Name Family Member 5 Age 18 or Older Under 18 Waiver LIABILITY WAIVER & PHOTO RELEASE I agree to hold Greenway Network, Inc., and all other sponsors and coordinating organizations, it’s agents, servants and employees harmless from any and all liability, actions, causes or actions, claims, demands for suits whatsoever resulting from or arising out of personal injuries, loss of, or damage to property, or involving any impairment of, or damage to any right because of or in any way related to the Greenway Network. Inc. resulting from my participation in this activity. I also authorize any photos or video taken of myself, and/or the participant, to be used in any publicity or promotion materials by the event coordinators. Thank you for your participation. * Yes. I have read and agreed to the liability waiver. No. If not, you can access the form here. Please list the shirt sizes for each member of your group. We have aduld Small, Medium, Large and Extra Large. Captcha If you are human, leave this field blank. Submit
