Redirecting you to a secure payment page…
1
{{pageTitles[currentPage-1]}}
2
{{pageTitles[currentPage-1]}}
3
{{pageTitles[currentPage-1]}}
4
{{pageTitles[currentPage-1]}}
5
{{pageTitles[currentPage-1]}}
6
{{pageTitles[currentPage-1]}}
7
{{pageTitles[currentPage-1]}}
8
{{pageTitles[currentPage-1]}}
Tuleyome Logo
CA Naturalist Logo
{{item}}

Certified California Naturalist Training Program Registration Form

{{item}}

Welcome! We are so glad you’re interested in the Certified California Naturalist Training Program, hosted by Tuleyome in partnership with UC Agriculture and Natural Resources.

To help us get to know you, this application will take about 20–30 minutes to complete. To ensure your progress isn't lost due to a technical glitch or an accidental click, we recommend drafting your responses in a separate document before submitting. We can’t wait to read your application!

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

Mailing Address

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

Physical Address (if different than mailing)

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
Code Here
{{item}}
{{item}}

{{item}}
Upon completion of this course, you are eligible to receive four (4) UC academic units (for a fee). Do you want to take this course for academic credit? You don’t have to commit to anything right now, but if you’re interested, let us know
{{item}}
{{item}}
{{item}}

{{item}}

Page 1 of 6

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Tuleyome Logo
CA Naturalist Logo
{{item}}

Page 2 of 6

{{item}}

Tell us more about yourself!

{{item}}

To ensure your progress isn't lost due to a technical glitch or an accidental click, we recommend drafting your responses in a separate document before submitting.

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

Page 2 of 6

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page 3 of 6

{{item}}
Tuleyome Logo
CA Naturalist Logo
{{item}}

Statement of Terms of Acceptance

{{item}}

Attendance Requirements:

To become a Certified California Naturalist through Tuleyome, participants are expected to attend all classes and field trips. Only one class session can be missed, and the participant will be expected to complete make-up assignments at the direction of an instructor. Only one field trip can be missed, and the participant will be expected to complete make-up assignments at the direction of an instructor. Participants are expected to inform the instructor in advance if they plan on missing any of the classes or field trips.

{{item}}
{{item}}

Participant Requirements:

Class participants are required to complete a “stewardship project” either individually, with a partner, or in a group of no more than three classmates. The project is briefly described as an 8-hour long volunteer project with a “deliverable” at the end of it, to be presented to the class on or before the last day of class. (More detailed information will be given during the program.) Additionally, class participants are expected maintain a “field notebook” to record observations, submit a minimum of five (5) observations to iNaturalist, participate in the “nature table” exercise in class, and complete all homework and reading assignments assigned by the instructors.

{{item}}
{{item}}

Class Forms:

I agree to print, complete, and submit to the instructor(s) the Emergency Contact form and the Liability Waiver form prior to the first day of class.

{{item}}
{{item}}

Digital / Computer Access:

Communication to participants in the class will be via email; instructions, directions and documents will be sent electronically as attachments to some emails. Additionally, since all students are expected to post photographs and observations to iNaturalist, access to some kind of photo-taking equipment (camera, cell phone) is required. (Tuleyome has some cameras available for loan if you need one.) Upon completion of the program, all participants will also be expected to use the web-based Volunteer Management System (available through the UCANR website) to record volunteer hours and access information about volunteer opportunities, activities and teaching materials. Therefore, all students are required to have a valid, working email address, access to the internet via a cell phone or PC, and some means of taking and sharing photographs (with a camera, or cell phone with photo-taking capabilities).

{{item}}
{{item}}

Class Payment, Textbook, and Refund Policy:

Tuition is due and payable before the course begins. (Tuition does not include the cost of the required textbook, field notebooks or other personal class supplies participants may want to bring with them.) Please see the website (www.tuleyome.org) or contact Nate (nlillge@tuleyome.org) for information on how to submit your payment. Once the registration fee has been paid it will NOT be refunded in whole or in part (except in the unlikely event that the entire course is canceled by Tuleyome).

{{item}}
{{item}}

{{item}}
{{item}}
{{item}}

Page 3 of 6

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page 4 of 6

{{item}}
Tuleyome Logo
CA Naturalist Logo
{{item}}

EMERGENCY CONTACT FORM

{{item}}

Please indicate below the person(s) to be contacted in case of severe illness, accident, or other emergency circumstance. Furnishing any or all information on this form is voluntary. Information on this form will only be transmitted to other individuals who are deemed appropriate in connection with a health or safety emergency.

{{item}}

Emergency Contact #1:

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

Emergency Contact #2:

{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

Page 4 of 6

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page 5 of 6

{{item}}
Tuleyome Logo
CA Naturalist Logo
{{item}}

LIABILITY WAIVER FORM (1 of 2)

{{item}}

EXPRESS ASSUMPTION OF RISK, WAIVER OF LIABILITY AND CLAIMS, AND INDEMNITY AGREEMENT, TULEYOME

I hereby request that I be allowed to participate in the Certified California Naturalist training program sponsored by Tuleyome. In consideration of being permitted to participate in the above-described activity (“Activity”), I, for myself and for my personal representatives, assigns, heirs, and relatives or next of kin, acknowledge, agree, and represent the following:

1. Express Assumption of Risk: I understand that there are inherent hazards in activities such as hiking, rafting, camping, visiting and touring wilderness areas, trail building/maintenance and other like activities. “Inherent hazards” include, but are not limited to, risk of injury, illness, severe or permanent disability, or death; slip-and-fall injuries; drowning; dehydration, fatigue, chills, dizziness, hyperthermia, hypothermia, frostbite; insect, animal or snake bites; animal attacks; acts of nature (such as rock slides, mud slides, avalanches, inclement weather, lightning strikes, severe and varied winds, temperature and other weather conditions); the possible equipment failure due to others or myself; my own negligence and/or the negligence of others including employees, agents, independent contractors or representatives of Tuleyome; and my lack of balance, physical conditioning, and ability to follow instructions1. I acknowledge that I am voluntarily participating in the Activity with knowledge of the risks. Therefore, I assume and accept full responsibility for the inherent and other risks (both known and unknown) of the Activity, and for any injury, damage, death or other loss that I suffer, resulting from those risks, and/or resulting from my negligence or other misconduct.

2. Waiver of Liability and Claims, and Indemnity Agreement: In consideration of being permitted to participate in the Activity (including transportation to/from the event/location site), I knowingly, voluntarily and for adequate consideration agree to RELEASE, HOLD HARMLESS and INDEMNIFY Tuleyome and its directors, officers, employees, invitees, agents, representatives and volunteers (collectively called the “Agents”) from and against all claims, actions, causes of action, costs, expenses and demands of any nature or kind whatsoever (“Claims”) that I, my personal representative, assigns, heirs, relatives or next of kin, or any other person may now or hereafter have or claim to have (known or unknown, seen or unforeseen, directly or indirectly, or within or without the control of Tuleyome and/or the Agents), for or on account of any losses, damages, personal injuries, pain and suffering, death, property damage, or contract claims resulting from, or arising out of, during, or in connection with my participation in the Activity, while traveling to and from the Activity, or during the rendering of emergency medical procedures or treatments, if any, notwithstanding that the same may have been contributed to or occasioned by any act including, without limitation, the negligence of Tuleyome and/or any one or more of its Agents.

3. Insurance. I acknowledge that Tuleyome does not or may not carry any insurance relative to the Activity or for loss of property or injuries to me. I represent that I have insurance through my own insurance carrier.

4. Medical Treatment. If any emergency medical procedures or treatments are required during the Activity, I consent to the Activity supervisor(s) taking, arranging for, and consenting to the procedures or treatments in the Activity supervisor’s discretion. I hereby agree to pay the costs of any such medical procedures or treatments. In addition, I hereby release and discharge Tuleyome and its Agents from any Claims whatsoever that arises or may hereafter arise on account of any first aid treatments or services rendered to me in connection with the Activity or with the decision by the Activity supervisor(s) to exercise the power to consent to emergency medical procedures or treatments.

5. Right to Sue. I hereby agree not to sue or file a claim with Tuleyome for any injury to me or damage(s) to property sustained in connection with the Activity, or the rendering of emergency medical procedures or treatments, if any.

6. Other. I expressly agree that this “Express Assumption of Risk, Waiver of Liability and Claims, and Indemnity Agreement” is intended to be as broad and inclusive as is permitted by the laws of the State of California and that this agreement shall be governed by and interpreted in accordance with the laws of the State of California. I further agree that, if any portion of this agreement is held to be invalid, the remaining portions shall continue in full legal force and effect. By entering into the agreement, I am not relying on any oral or written representations, statements or inducements made by Tuleyome and/or its Agents, other than what is set forth in this agreement.

General Photography Release: Further, I the undersigned hereby authorize Tuleyome to publish photographs taken of myself and/or my child on the Tuleyome-hosted outing(s), along with our name and likeness, for use in any of Tuleyome’s print, online, and video-based marketing materials as well as other Tuleyome publications. I acknowledge that neither I nor my child will receive any form of compensation for Tuleyome’s use of our likeness or name in its marketing, educational, or organization materials and/or publications. As the outings take place in public areas, I understand that I and my child have no expectation of privacy, and hereby release and hold harmless Tuleyome from any form of “confidentiality” that may be associated with the use of our name and/or likeness. Furthermore, I hereby release Tuleyome, it contractors, employees, agents, board members, volunteers, and any third parties involved in the creation or publication of Tuleyomerelated marketing materials, from liability for any and all claims made by me or any third party in connection with participation in the Tuleyome-hosted outing(s) in which I and/or my child is a participant.

I have carefully read, fully understand and agree to its contents, and voluntarily sign, this “Express Assumption of Risk, Waiver of Liability and Claims, and Indemnity Agreement, Tuleyome.” I am participating in the Activity on an entirely voluntary basis, and I understand that by signing this agreement I am willingly giving up specific rights, including my right to sue.

1 The Participant hereby acknowledges that he/she understands that the above descriptions of risks are not complete and that unknown and/or unanticipated risks may result in injury, illness, disability or death.

{{item}}
{{item}}
{{item}}

Page 5 of 6

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

ADDITIONALLY, FOR THE UNIVERSITY OF CALIFORNIA:

{{item}}

In consideration of being permitted to participate in any way in the Certified California Naturalist training program, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Certified California Naturalist training program

Assumption of Risks: Participation in the Certified California Naturalist training program carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains; 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions; 3) catastrophic injuries including paralysis and death.

I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in the Certified California Naturalist training program. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees brought as a result of my involvement in the Certified California Naturalist training program and to reimburse them for any such expenses incurred.

Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I have carefully read, fully understand and agree to its contents, and voluntarily sign, this “Express Assumption of Risk, Waiver of Liability and Claims, and Indemnity Agreement.” I am participating in the Activity on an entirely voluntary basis, and I understand that by signing this agreement I am willingly giving up specific rights, including my right to sue.

{{item}}
{{item}}
{{item}}

Final Page

{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{item}}
Monthly gifts go further — cancel or pause anytime.
{{item}}
USD
{{item}}
{{item}}
{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card
or enter your card details below
{{item}}
{{item}}
{{item}}
{{item}}
Payment Form Unable to Load: Your payment form is blocked by a firewall. This is most commonly due to use of an anonymous, untrusted IP address. If you are using a VPN to anonymize your IP, we recommend connecting through your local IP to complete your payment.
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
Amount {{ formatAmount(totalAmount) }}
Frequency {{selectedFrequencyLabel}}
{{ccfpInfo.notInGoodMessage || ''}}
{{item}}
{{donationAmountStr}}/{{recurringUnitText}} USD
{{cardTotalAmountIncludeFeeList}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.