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Search for:
Home
Contact
News | Updates
Programs
Imi Wai Ola – Student Science Conference
NALU
STEM/Nature
PNP
WIRED
STEM
SOAR HI
Mālama | Lōkahi
About
Newsletter
Enroll / Apply
Video and Online Activities
Waikalua Loko I’a
Oral History Archive
Lā Ohana Days
School Visits – Huaka’i
ʻIke Kūpuna
Online curricula
FishpondWaiver
webmaster
2023-02-08T20:48:01-10:00
I'm here to:
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Sign Waiver only (I'm in a group or family already registered)
Register + Sign Waiver
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Lā 'Ohana Day FEB 2023
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1 adult
Group or Family (adults and/or children)
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1 adult
Group or Family (adults and/or children)
Name
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First
Last
Email address
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Are you a Malama or Lokahi afterschool student?
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Yes! Mālama
Yes! Lōkahi
Name of the GROUP or FAMILY
How many adults?
Total Number of adults, including yourself.
Please enter a number from
1
to
10
.
Adults' names, if you have them.
Remember to ask each adult to come to this page and sign their own waiver (question #1).
How many children will be attending with you?
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0
to
20
.
Names of the children?
Please sign Waiver
(Required)
Waikalua Loko I'a is owned and operated by the Pacific American Foundation Hawaii, Inc. and Pacific American Foundation, a 501(c)(3) nonprofit organization for educational and charitable activities that benefit the public.
I will be attending an educational field site visit, community workdays or other activity at Waikalua Loko I`a located at 45-231 Kulauli Street in Kane‛ohe, Oahu. I agree to conduct myself with great regard for my own and others' safety. I expressly agree to the following:
I. Assumption of Risk, Release and Waiver
Pacific American Foundation Hawaii, Inc., and Pacific American Foundation and their officers, agents, employees or representatives, docents, volunteers and all others acting on their behalf, hereinafter "
PAF Released Parties"
do not provide liability insurance, or otherwise indemnify against injuries or any other liabilities arising from our participation in these educational and/or recreational activities.
I expressly and voluntarily assume all risk of property damage, personal injury and/or death during, or which may result from my voluntary participation in this event.
I hereby release, agree to defend, hold harmless, indemnify and discharge PAF Released Parties from any and all liability claims, demands or causes of action that we may have for injuries and/or damages arising out of our participation in the educational field site visit/community workday, including but not limited to, losses caused by the passive or active negligence of ourselves and/or the PAF Released Parties.
I agree that I/we will not sue or make a claim against PAF Released Parties for any damages and/or other losses sustained as a result of our participation in the educational field site visit.
I hereby give permission to use photos of me, my group, or my child during the visit to the fishpond. I understand that the intended purpose of the video or photograph will be used solely for educational purposes. I waive any rights of compensation or ownership thereto.
____________________________________________
II. For DOE participants only, the following terms apply:
The STATE shall be responsible for the damages or injury caused by the STATE, STATE's agents, officers, and employees, in the course of their employment to the extent that the STATE's liability for such damage or injury has been determined by a court or otherwise agreed to by the STATE, and the STATE shall pay for such damage and injury to the extent permitted by law. Pacific American Foundation shall be responsible for damages or injury caused by Pacific American Foundation, Pacific American Foundation's agents, officers, and employees
In the course of their employment to the extent that Pacific American Foundation's liability for such damage or injury has been determined by a court or otherwise agreed to by Pacific American Foundation and the Pacific American Foundation shall pay for such damage and injury to the extent permitted by law.
____________________________________________
III. For PAF Staff participants only, the following terms apply:
I understand that participation in a community work day is a voluntary action and not part of specific work duties, unless specified in the work contract. Any injuries sustained are not part of my work duties, nor the responsibility of the PAF Released Parties, and are the personal liability of the volunteer.
______________________________________
I have had the opportunity to read this entire document, and agree to be bound by its terms, hereby agreeing and consenting to release, relinquish, and forever discharge PAF Released Parties from any and all claims, any and all causes of action that I (we) have or may have, whether past, present or future, whether known or unknown, whether anticipated or unanticipated.
COVID-19 Protocols
"PAF Released Parties" are not responsible or accountable in the unlikely event I / my child/children contract COVID-19 due to participation activities. IF I AM FEELING ILL or have tested positive, I WILL NOT COME. PAF thanks you for your cooperation in keeping those most vulnerable safe.
I agree to these terms (for myself (and my minor children, if applicable)
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