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Open Space Day Registration

  1. Please list all members of your group.

  2. Please provide us with your address so we may send you a reminder email. Your address will not be shared outside the organization.

  3. By selecting 'Yes', I acknowledge that I have read and understand the Safety Guidelines for Outdoor Volunteers as provided to me by the City of Lafayette. Further, I hereby, for myself, my child, my heirs, executors and administrators, waive and release any and all rights and claims for damages I or my child may have against the City of Lafayette and its representatives, successors, and assigns for any and all injuries suffered by myself or my child during activities connected with this program, except as eligible for coverage under the City of Lafayette’s Volunteer Accident Medical Plan. I understand that photographs may be taken by the City of Lafayette during this program. I grant the City of Lafayette permission to use my likeness in photograph(s) in any and all publications and in any and all other media now and in the future. I will make no monetary or other claim against the City concerning the photograph(s).

  4. Leave This Blank:

  5. This field is not part of the form submission.


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