Community Clean Up Registration
Event Timing: March 28th, 2020: 10 AM to 12 PM
After Party: Ecusta Brewing: 1 PM to 3 PM
Contact us at
or at (828) 885-2555
Name of Volunteer
Age of Volunteer
Tee Shirt Size
Are you signing up for more than one person? If yes, please reply to the next question. If no, skip the next question.
Name, age, and tee shirt size of each volunteer:
Are you interested in leading a clean up team?
All participants must agree to the waiver. MSCS parents and students have already filed this waiver, therefore they are not required to sign it again. I agree to the waiver: VolunteerRelease and Waiver of LiabilityThis Release and Waiver of Liability (the “Release”) is executed by the undersigned (“the Participant”) in favor of Mountain Sun Community School, Inc. a non-profit corporation organized and existing under the laws of the State of North Carolina, its directors, officers, employees, volunteers and agents (collectively referred to herein as “MSCS”). I, the Participant, desire to volunteer with MSCS and engage in the activities related to its programs and services. I understand that the activities may include, but are not limited to _______________________________. I hereby freely and voluntarily, without duress, execute this Release under the following terms:1. Waiver and Release. I, the Participant, release and forever discharge and hold harmless MSCS from any claim or liability that I, the Participant, might have against MSCS with respect to any bodily injury, personal injury, illness, death or property damage that might result from my participation in any activities of or for MSCS. MSCS does not assume any responsibility or obligation to provide financial or other assistance, including, but not limited to medical, health, or disability insurance in the event of injury, illness, death or property damage.2. Insurance. I acknowledge that MSCS does not carry or maintain, and expressly disclaims responsibilities for providing health, medical, or disability insurance for the Participant. Each Participant is expected and encouraged to carry personal liability or health insurance prior to volunteering with MSCS.3. Medical Treatment. Except as otherwise agreed to by MSCS in writing, I hereby release and forever discharge MSCS from any claim whatsoever that arises or may hereafter arise on account of any first-aid treatment, medical treatment or other medical services rendered directly or indirectly in connection with an emergency or my involvement and activities during my time volunteering with MSCS. 4. Assumption of Risks. I understand my volunteer time with MSCS may include activities that may be hazardous to me, including, but not limited to, helping people, storing, loading and unloading of heavy materials, maintenance upkeep tasks, walking along busy streets, and administrative duties that call for dealing with the public. I recognize and understand that my time with MSCS may, in some situations, involve inherently dangerous situations, people and activities. I hereby expressly and specifically assume the risk of injury or harm in these people, situations, and activities and release MSCS from all liability for injury, illness, death or property damage resulting from this involvement and these activities with MSCS. 5. Photographic Release. I grant and convey unto MSCS all rights, titles, and interest in any and all drawings, photographic images, video recordings and other electronic depictions of any sort (including those made by or for MSCS) during my volunteer work for MSCS, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs recordings, and/or depictions. 6. Other. I acknowledge that it is my desire to further the work of MSCS by performing services as a volunteer. I undertake to perform said services as a volunteer without compensation and that, in performing said services, I acknowledge that I am not an employee of MSCS and I am not acting as an employee of MSCS. I acknowledge I am not entitled to workman’s compensation coverage, and I will not have or receive workman’s compensation coverage. To express my understanding of this Release and Waiver of Liability, I sign here (checking the box will represent your signature):
Choose Three: What locations are you interested in helping at? Disclaimer: We may not be able to accommodate your first choice.
Bike Path Crew One
Bike Path Crew Two
Bike Path Crew Three
Brevard Music Center & Probart Street
Dupont Parking Areas
UU to Library stretch
It doesn't matter to me
Questions, Comments, Concerns?
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