WCSC - Test

Event Date
Monday - 12/13/2021
Start Time
8:00am
End Time
11:00am
Event Description

Testing Event Registration

Address
5640 Carey Avenue Davenport, IA 52807
Event type
Testing website function for event request
Meet Up Location
Testing website function for event request
Registration for event
Name
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
Volunteer Three Name
Volunteer Four Name
Volunteer Five Name
Volunteer Six Name

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.

 

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.