Covid Release Form

| Elva Manquera |

*All individuals attending the event must fill out the Waiver of Liability form. Paper copies are available. 

I acknowledge and understand that in order to participate in in-person KBO events, all participants are required to be fully vaccinated with an FDA or WHO  authorized vaccine and will be required to properly wear a mask at all times except when actively social distancing.  

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
 

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Klamath Bird Observatory
541-201-0866
PO Box 758
Ashland, Oregon 97520

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