What's your email address?

Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
What kind of volunteer are you?
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Severson Dells Nature Center volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Home Phone Number (if applicable)
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Group Affiliation
Service Interest *





Birth Date *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Pronouns (ex: they/them, she/her, he/him)
Volunteer Type *
Address *
City *
State *
Zip Code *

Disclaimer

Severson Dells Nature Center is committed to conducting its environmental education programs, activities and events (programs) in a safe manner and holds the safety of participants and volunteers in high regard. Severson Dells Nature Center continually strives to reduce risks and insists that all participants and volunteers follow safety rules and instructions that are designed to protect the participants’ safety. However, participants, volunteers, and parents/guardians of minors registering for this program must recognize that there is an inherent risk of injury when choosing to participate in recreational programs.

I understand I am solely responsible for determining if I or my minor child/ward is physically fit and/or adequately skilled for the activities contemplated by this agreement. It is always advisable to consult a physician before undertaking any physical activity.

WARNING OF RISK

Environmental education programs are intended to connect participants and olunteers with the natural world and are often conducted in outdoor natural areas. Despite careful and proper preparation, there is still a risk of serious injury when participating in any environmental education activity. All hazards and dangers cannot be foreseen. In this regard, it is impossible for Severson Dells Nature Center to guarantee absolute safety.

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK

I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation or service. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in or volunteering for this program/activity against Severson Dells Nature Center, including its officials, agents, volunteers and employees.

PHOTO RELEASE

I consent to and authorize the use and reproduction by Severson Dells Nature Center of any and all photographs and any other audiovisual materials taken of me or the minor(s) listed below for promotional printed material, educational activities and exhibitions or for any other use for the benefit of the program.

I have read and fully understand the above important information, warning of risk, assumption of risk, waiver and release of all claims and photo release. If registering on-line, my on-line signature shall substitute for and have the same legal effect as an original form signature.