OR – Roseburg National Cemetery April 28, 2021 By Address: Roseburg National Cemetery, West Harvard Avenue, Roseburg, OR, USA Phone:1-844-922-1151 Site Leader: Charles Lystrup Email: urbanarborcarellc@gmail.com Phone: 541-213-7888 Sign up for this location Enter Your Location Name To confirm, please select the location you are attending. 30395 Participant Information * First Name * Last Name * Email * Phone Company Level Of Participation Participant Site Leader Sponsorship I would like to become a sponsor of Saluting Branches Individual: up to $2,499 Associate: $2,500 to $4,999 Benefactor: $10,000 or more Other * Shirt Size After Shirt Deadline Small Medium Large XLarge XXLarge Sign up by 7/29/22 to get a free commemorative T-Shirt! Group Information Are you attending as part of a group such as a company or organization? Yes No Please Select Your Group: Patriot Stump Grinding Karhu Tree Service Guardian Angel Training Advanced Tree Care of Roseburg RDO Equipment Cowboy Tree LLC Happy Hills Tree Service Urban Arbor Care Oregon Tree Works Group Not Listed? Please Enter Your Group Name * Are you leading/organizing this group? Yes No Approximately how many people will be in your group? (Note that each participant in your group will need to signup individually) Services or Equipment What services are you able to provide? ex: Pruning, Removal, Plant Healthcare, Stem Girdling Root Extraction, Consulting (Tree ID, Disease, Insect, Condition Rating), Inventory, etc. What equipment are you able to provide? ex: Truck and Chipper, Clam Loader, Dump/Log Truck, Large Forwarding (Bobcat, Swinger, etc), Small Forwarding (Miniloaders, Gehl, Vermeer, etc), Aerial Lift Waiver VOLUNTEER WAIVER AND RELEASE Saluting Branches Volunteer Program Please read carefully before signing up. I wish to volunteer to assist and to donate my time and expertise to the Saluting Branches program. My participation with Saluting Branches is voluntary and intended for the benefit of the U.S. Department of Veteran Affairs and / or organization(s) benefiting from the program. I do not expect, and I acknowledge that I will not receive, any compensation whatsoever from the U.S. Department of Veteran Affairs, Saluting Branches, or other organizations for the services I perform in connection with the Saluting Branches program. I certify that: (a) I am a legal resident of the United States with a valid state identification; (b) I am of legal age (18) in my state of residence and have the right to contract on my own behalf. I agree to be subject to the Saluting Branches Executive Committee reasonable direction and control while on site volunteering in the Saluting Branches program. I acknowledge that notwithstanding my status as a volunteer, the U.S. Department of Veteran Affairs or Saluting Branches has the right to revoke my privilege to participate in the Saluting Branches program at any time in its sole discretion. I am aware that there may be risks associated with my participation in Saluting Branches. These risks may include injury or accident to person or property, or other loss. I assume any and all risks, whether known or unknown, while volunteering my services to the Saluting Branches program or otherwise. I hereby release Saluting Branches, their affiliates and subsidiaries and all respective officers, directors, employees, representatives, and agents thereof, from any liability related to any claim of injury, damage, loss or liability to person or property, due in whole or part, directly or indirectly, to the Saluting Branches program and from any claim for wages or other employment-related benefits. I also agree to defend, indemnify, and hold harmless Saluting Branches for any expense or liability Saluting Branches or its affiliates may incur as a result of my negligent conduct, actions or omissions while participating in the Saluting Branches program. I hold harmless Saluting Branches. I consent to the use for promotional purposes of my name, photo and/or likeness, biographical information, any content or photographs submitted by me or taken or collected in connection with the Saluting Branches program, as well as true statements attributed to me, without compensation. 8. It is my express intent that this Waiver and Release shall bind the members of my family, if I am alive, and my heirs, assigns and personal representatives if I am deceased. * Waiver I have read the above waiver and agree to the terms I agree to follow all current Federal & State COVID-19 guidelines Optional: Include a statement or quote What does Saluting Branches mean to you?