Facility Tour Waiver and Media Release

In consideration of the opportunity to participate in a tour of:

George W. Kuhn Retention Treatment Facility

Madison Heights

Clinton River Water Resource Recovery Facility

Pontiac

Walled Lake - Novi Wastewater Treatment Plant

Novi

whose public tour process requires me to accept this agreement, I hereby agree to the following Waver and Release of Liability (Agreement):

1. Waiver and Release of Liability: My participation in the tour is voluntary and subjects me to the possibility of physical injury (which could be minimal or serious) and loss of or damage to my property (collectively, Risks).

Accordingly, I agree to the following.

a. I hereby release and hold harmless Oakland County, Oakland County Water Resources Commissioner, the drainage district if applicable, and Oakland County, Oakland County Water Resources Commissioner, and drainage district’s officers, directors, employees, agents, volunteers, and contractors (collectively, Releasees) from any claim, demand, loss, liability, damages, and attorney fees and costs whatsoever arising from, related to, or resulting from these Risks (Claims), including those caused by the negligent acts or omissions of any or all of the Releasees.

b. I recognize that although the facility subject to this tour involves public operations, it is not a facility that is open to the public. It is an active operating facility and as such I may be required to wear certain safety equipment and follow safety direction from the facility staff.

c. As between each of the Releasees and me, I will be solely responsible for any and all medical and related bills that I may incur because of any injury, as well as costs related to loss or damage to my property, that I may sustain as a result of my participation in the tour, including those sustained on the premises where the tour is conducted and while I am traveling to and from such premises, regardless of the location or mode of transportation.

d. This Agreement shall be binding on my estate, heirs, executors, administrators, successors, and assigns, as well as any other party asserting a Claim on my behalf or on behalf of my estate.

2. General Provisions:

a. I hereby expressly agree that (1) this Agreement is governed and construed according to the laws of the State of Michigan without regard to its conflict of laws provisions.

b. This Agreement contains the entire understanding between and among the parties concerning these matters. No waiver, modification, or amendment of any terms of this Agreement shall be effective unless made in writing and signed by the party to be charged.

c. I hereby expressly agree that if any portion of this Agreement is held invalid, the balance of the Agreement shall nonetheless continue in full legal force and effect.

I acknowledge that I have read and understand that this Agreement involves my waiver and release of significant rights and my assumption of significant indemnification responsibilities in participating in the tour.

do NOT wish to register to participate in the tour.choose to register to participate in the tour.

Participant's Name

Is the participant a minor?

YesNo

Please provide the name of the minor’s legal guardian.

Please provide the minor’s legal guardian's signature below.

Media Release for Minors

Your minor may be included in photographs and/or videos taken by the Oakland County Water Resources Commissioner's office. Please indicate, by checking the box below, whether or not you grant permission for your minor’s photo/video to be used in print, on the internet, and/or in other forms of media.

If you select “yes” you agree to give Oakland County, and the office of the Water Resources Commissioner, permission to edit, use, and reuse photos/videos for non-profit purposes including use in print, on the internet, and all other forms of media. You also agree to release and hold harmless Oakland County, and the office of the Water Resources Commissioner, and its agents, volunteers, and employees from all claims, demands, and liabilities whatsoever in connection with the above use.

Yes, I give my permission to use my minor’s photo/video.

Please list the name and date of birth of the minor(s) to indicate verification of the above selections.

Minor's First Name

Minor's Last Name

Birth Date

Please confirm that you are the parent/legal guardian of the minor listed.

Yes, I confirm that I am the parent / legal guardian of the minor child or children listed.

Media Release for Adult Participants

You will be included in photographs and/or videos taken by the Oakland County Water Resources Commissioner's team. Please indicate, by checking the box below, whether you grant your permission for your photo/video to be used in print, on the internet, and/or in other forms of media.

I give my permission to use my photo/video.

Yes

Please type your first and last name below to indicate verification of the above selections.

First Name

Last Name