Request for Field Station Liability Waiver Form

Your name:

Specify the Field Station you wish to visit:
Anheuser Busch Coastal Research Center
Blandy Experimental Farm and State Arboretum
Mountain Lake Biological Station


Which of these is true for your visit:
You DO NOT INTEND TO work with vertebrate animals, OR
You INTEND TO work with vertebrate animals or their parts in any capacity (i.e. other than passive observation from a distance of 5 feet or more).

Please review http://www.abcrc.virginia.edu/waiver/zoonoticdiseases.pdf which details site specific risks inherent to fieldwork. Close that window to return to this form.