Clean Team Agreement Form

Clean Team Name*

Clean Team Captain*

Clean Team Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone

Area for adoption*

Type of area*

Volunteer list*

Clean Team Agreement*

I agree to the PalmettoPride Clean Team Agreement.

The Clean Team agrees to pickup litter a minimum of four times a year, monitor for illegal dumpsites and other environmental issues, and report to PalmettoPride results of their litter pickups. The Clean Team will adopt their above-mentioned area for a minimum of two years.

Volunteer Waiver*

I agree to the PalmettoPride volunteer waiver.

Parents/legal guardians of children under 18 years of age will be responsible for the child’s safety. By signing below, the parent/legal guardian of the minor agrees to the terms and conditions of this waiver, and authorizes the designated legal adult named below to be responsible for the minor.
The volunteers and/or parent/legal guardian(s), by signing below, recognize that the program involves some risk and that she/he takes responsibility for all action or injury that may result in participating in the cleanup. All children under 18 must be accompanied by a parent/legal guardian and must have a parent/ legal guardian signature(s) below. The volunteer and parent/legal guardian, by signing below, agree to the following statement:
The undersigned hereby release, waive, discharge and covenant not to sue the State of South Carolina, PalmettoPride, county or other agencies, partners, cooperating landowners, event volunteers and coordinators, sponsors, and any of the offices, servants, agents and employees of the above-mentioned entities (hereinafter referred to as “RELEASEES”) for any liability, claim and/or cause of action arising out of or related to any loss, damage or injury, including but not limited to drowning or other event-related death, that occurs as a result of participation in the cleanup.
The undersigned agrees to hold harmless the RELEASEES whether injury is caused by the undersigned’s negligence, the negligence of the RELEASEES or the negligence of any third party. The undersigned further agrees that this Release and Waiver of Liability shall bind members of family and spouse and any heirs, assigns and personal representatives, and in case of death, shall be deeded as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE the above-named RELEASEES.