MCTC Posted on April 6, 2018, updated on April 6, 2018 by May Yang MCTC Pilot Knob Event Registration (5/5) Register for this event Note: each adult must register separately (to legally complete the waiver). However, an adult can include minors on their registration and e-sign the waiver for them, as their legal guardians. Contact InformationName* First Last Email* Phone*Address Street Address Address Line 2 City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Zip Code*Optional Please help us out by answering the following questions. Great River Greening does not disclose your information for personal use. We only report this information as requested by our funders.Your AgeSelect18-2526-3536-4647-6566+Your Gender Female Male Trans* Other Racial Identity American Indian or Alaska Native Asian Black/African American Hispanic/Latinx/Spanish White Other How did you hear about this event? Volunteer Liability Waiver & Photo ReleaseI am registering for:*SelectMyself onlyMyself and youthYouth Names and AgesYou will be asked to sign a waiver for them below.Volunteer Liability Waiver & Photo Release RELEASE FROM LIABILITY: The undersigned agrees to release Great River Greening and its employees, officers, directors, or agents from any and all liability from claims of any nature whatsoever arising from undersigned’s participation at any Great River Greening event. PARTICIPANT ASSUMES RISK: Participant is aware of and understands the inherent risk and dangers associated with a physical activity, and agrees to assume all risk of and responsibility for personal injury or death, or damage to property arising from, based upon, or relating to the participation in the event. PHOTO RELEASE: I grant Great River Greening permission to photograph me at its events and to use the photograph(s) in its printed publications, on its web site and to submit the photographs to local and national media and other organizations promoting Great River Greening, its volunteers or its mission. Electronic Signature Consent * By checking the "I agree" box below, you are: 1. Avowing you are the parent or guardian of the minor(s) named above, you hereby make and enter into each and every representation, waiver, release and indemnity described above on on behalf of the named minor(s), and any other related parent or guardian. AND/OR you are of legal age to sign a waiver (18+) and are consenting to the use of your electronic signature in lieu of an original signature on paper. 2. Consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.Do you agree to the above?*I AgreeComments