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EMA Release Form

The Clinton County EMA Release Form, accessible at cc-ema.org/release, serves as a general liability and participation waiver for individuals involved in any EMA-coordinated activities. This includes, but is not limited to, training exercises, volunteer deployments, community outreach events, and emergency response operations.

Key Information:

  • Submission: Participants should download, complete, and return the form to breckel.thomas@clintoncountyohio.us prior to the event. If unable to submit electronically, bring the signed form on the day of the event.

  • Purpose: The form ensures that participants acknowledge potential risks and consent to involvement in EMA activities.

  • Applicability: Required for all individuals participating in EMA-led events, including volunteers, role players, and staff.

 

For any questions or further information, contact the Clinton County EMA at (937) 382-6673 or breckel.thomas@clintoncountyohio.us.

Version: 20250609 approved to form.

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