South Carolina Oyster Restoration and Enhancement Waiver Form

Contact Information
Affiliation:
Name:
Address:
ZIP:
State:
City:
**Mobile:
Additional phone:
Email Address:
Emergency Contact Name:
Emergency Contact Phone:
Event:
Location:
Date

**Note: A mobile number is Preferred. This ensures that we can contact you in the event of a change of plans which might occur while you were en route to the event.

Liability

By signing this form I understand and agree for myself, my representatives, agents, heirs, successors and assigns to hereby release and hold harmless the South Carolina Department of Natural Resources and all of its affiliates, officers, agents, trustees, employees, other volunteers, the organizers, and sponsors and supervisors of all activities, from any and all responsibility or liability for any personal injury, including death and any injury caused by negligence, and damage to or loss of property I may incur. Additionally, I agree to indemnify and hold harmless the South Carolina Department of Natural Resources and all of its affiliates, officers, agents, trustees, employees, the organizers, and sponsors and supervisors of all activities for any claims, accidents and injuries that are caused by me. I also certify that I am in good health and able to participate in SCORE program activities.

______

Print name Signature Date

Safety Plan

Your safety is critical. We have made every effort to make this a safe activity, but ultimately you are responsible for your own safety. Safety precautions can never be overemphasized.

Please follow these guidelines:

  • Wear appropriate footwear. It is imperative that you wear shoes which protect your entire foot (absolutely no sandals, crocs, or flipflops). Boots which will protect your ankles are preferable but tennis shoes are acceptable for most situations.
  • Wear appropriate clothing to protect you from sun, insects and scratches from oyster shells.
  • Use the safety gear which is available including gloves and safety glasses. Arm protectors will be issued if needed.
  • Please inform the event leader if you have any allergies or medical conditions.
  • Keep hydrated. Water is provided.
  • If you become excessively hot or tired, stop immediately. Seek shade and water. Ask for assistance if needed.
  • Watch for wildlife and dangerous vegetation: insects (such as ticks), hornets, wasps, poison ivy, poison oak, and or poison sumac are all possible. Know what to do if you get bitten or stung.
  • Inappropriate behavior such as not following directions, throwing objects or littering, horseplay, lack of cooperation, etc. will not be tolerated. Should this type of behavior occur, the program coordinator has the authority to terminate the program at any time.
  • If working by boat

•Wear your issued life jacket at all times while on the vessel.

•Keep hands clear when leaving or returning to the dock.

•Wear protective eye wear to guard against flying shell pieces.

•Remain seated while the vessel is moving

•Follow all instructions from the boat captain

  • If working on the shoreline

•Stay in the assigned work area. SC shorelines can have treacherous mud, sudden drop-offs and other hidden dangers.

•Do not walk in soft mud if at all possible

•Do not walk on live oysters

•Keep your gloves on at all times. Wear long pants to protect your legs from oysters.

•Never wade in swift or high water.

Initials: ____ Date: ______