5 a WorkLog_butterflygardenSept2019Location
Date
Group
Group Supervisor
Work performed
CITY OF SCAND8A
��8UU��l������������n�
���m.u�"mxu-n-nx m���oxv~ �~�*�
Lilleskogen
9/27|9
Friends nomouiuParks and
rr�l,
uureuocmu
Re -planting Butterfly Garden
Signature
Address
Hours
Worked
13860 236di St N, Scandia, MN 55073
Tom Vogen
21621 Oldfield Ave. N, Scandia, MN 55073
3.5
10 hrs
Bymysignature abovo |amacknowledging that | have read this waiver, understand it and freely and volunth|ya8reetuittorms
and conditions, I have volunteered to assist the City of Scandia in the above-described project. (1) 1 understand that my activities as a
volunteer may entail a risk of physical injury and I may be exposed to conditions involving risk of harm. I understand and voluntarily
assume all such risks of my own free will. (2) | hereby release The City, its officers, directors, employees and agents, co -sponsoring
organizations or individuals from any and all claims, losses, liabilities or damages arising from or in any way related to th eir acts or
omissions or my service as a volunteer. I do so for myself, my estates and personal representatives thereof, my heirs and as -signs. (3)
1 agree that photographs or videos taken of me may be used by sponsoring agencies in any material or publications, printed or