Event Date Wednesday - 05/07/2025 Address 626 W 53rd St, Davenport, IA 52806 Registration for event Name First Name Last Name Email Mobile Phone Register Additional Family Members - None -12345 If you have additional family members, add them below. If you have a large group, please contact us to get set up. Volunteer Two Name First Name Last Name Volunteer Two Email Volunteer Three Name First Name Last Name Volunteer Three Email Volunteer Four Name First Name Last Name Volunteer Four Email Volunteer Five Name First Name Last Name Volunteer Five Email Volunteer Six Name First Name Last Name Volunteer Six Email LIABILITY RELEASE AND WAIVER By registering for and participating in this cleanup I agree I will not hold any coordinating or sponsoring organization or their officers, employees and agents, or any other volunteer associated with any cleanup activities whether as a result of their negligence or the negligence of others, responsible for any injuries or damages that may occur as a result of participation. I understand and agree the activity I am participating in is one where the possibility exists, however slight, that injury could occur. I am in adequate physical condition to engage in this activity. I give permission for my likeness captured on video, photo and digital camera during the event to be used solely for the purposes of promoting the event on their Web site or in any promotional material or publications, and waive any rights of compensation or ownership. I understand this is a volunteer activity and will receive no compensation of any kind for labor rendered during this cleanup. I have completed this release and waiver for myself and my child/children under the age of 18. By checking this box I agree that I have read the following and agree to each item. *A parent or guardian is required to complete this release and waiver for volunteers under 18 years of age. CAPTCHA Leave this field blank