Request edit access
Spotless Service Saturday Event: October 8th
This month's cleanup will address Garners Ferry Rd. in Richland County on October 8, 2022 from 9 a.m. - 12 noon!  Details about where to meet will be emailed to you prior to the cleanup.

Keep the Midlands Beautiful started the Spotless Service Saturday initiative to address highly littered areas with monthly cleanups hosted by our team! Cleanup locations rotate each month in the areas KMB serves - Richland County, Lexington County, the City of Columbia and the Town of Irmo. This event grew from a collaboration with the UofSC Service Saturday program.  All residents, both individuals and groups, are encouraged to join the KMB team and UofSC students in these monthly cleanups.
Sign in to Google to save your progress. Learn more
Email *
Name (first and last) *
Mobile phone number *
How many will be participating in your group? *
COVID-19 ASSUMPTION OF RISK AND WAIVER OF LIABILITY:                                                                                Keep the Midlands Beautiful (KMB) has put in place preventative measures to reduce the spread of COVID-19; however, KMB cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, volunteering in group clean-ups could increase your risk and your child(ren)’s risk of contracting COVID-19. By typing my name in this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by volunteering in litter pick-ups and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, KMB employees and volunteers. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with volunteering in KMB litter clean-up programs. *
Signature (Full Legal Name): *
Thank you for helping us to keep OUR Midlands beautiful!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy