Covid Release Form

| Elva Manquera |

*All individuals attending a meeting or event at a KBO facility must be “up-to-date” and able to provide proof of vaccination status and must fill out this Waiver of Liability form. Paper copies are available. COVID‐19 recommendation guidance “Stay Up to Date with Your Vaccines Including Boosters” is found here.

I acknowledge and understand that in order to participate in in-person KBO events, all participants are required to be up to date with all FDA or WHO  authorized vaccinations and will be required to properly wear a mask if KBO requests.  

I acknowledge and understand that an inherent risk of exposure to  COVID-19 exists in any place where people gather and accept this risk within the context of the following liability waiver.

*Proof of vaccination will be required for all in-person events.


Waiver of Liability

Max. file size: 512 MB.
Please upload a picture or PDF of your vaccination card.
MM slash DD slash YYYY
Participant Name or for a Minor Name of Legal Guardian(Required)
Name of Minor (under 18 years old)
By checking this box below, I am acknowledging that I fully understand and agree to the terms and conditions in the above Covid Release form above.(Required)
Signature (Please print your full name to sign)
MM slash DD slash YYYY


Klamath Bird Observatory
PO Box 758
Ashland, Oregon 97520


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