East Longmeadow Earth Day Cleanup volunteer registration & shirt request (please register every volunteer individually, including kids)
Event Timing: April 23rd, 2022
Event Address: Meet at the ELHS parking lot at 8:30am
Contact us at (413)525-5400 x 1108, or elizabeth.bone@eastlongmeadowma.gov

** Please note, shirts had to be ordered by April 5, 2022. If you are part of the first hundred and said yes to receiving a shirt after April 5, 2022, we can not guarantee you the shirt size requested.
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Email *
Name of Registrant (register EACH volunteer separately) *
Name of parent of registrant if under the age of 16
Registrant's Email, (parent if registrant under 16) *
Mobile number of registrant *
Organization, i.e. Girls Scouts, Lego.
Do you have a team name? (family friendly please)
Would you like a kid friendly area to clean up? *
Where would you like to clean up? *
Would you like to make a donation or sponsor this event? We will contact you with options. *
East Longmeadow Recreation Participation Waiver Participation & Indemnification Clause: By typing the registrant name below, I agree to waive and release the Recreation Department and the Town of East Longmeadow, its officers, agents and employees from and against any and all claims, cost liabilities, expenses, or judgements, including attorney's fees and court costs arising of my or my child's participation in the Town's recreation program or any illness/injury resulting therefrom, and hereby agree to indemnify and hold harmless the Town of East Longmeadow from and against any and all such claims, whether caused by negligence or otherwise, except for illness and injury resulting directly from gross negligence or willful misconduct on the part of the Town or its employees. I understand and agree that by signing this waiver I am freeing the Town of East Longmeadow, its employees, officers, or agents from any liability resulting from my (or my child's) participation in this sponsored event or activity. I recognize that the event can be dangerous to me (or my child) and accept those dangers. I understand that if I am (or my child) is injured, this waiver will be used against me and any one else claiming damage because of my (or my child's) injury in any legal action. I also understand that no employee or agent is authorized to modify this waiver. I hereby represent that I understand and am familiar with the nature of the activities in which I (or my child) will participate in this recreation program that I (or my child) am in good physical health and that I (or my child) do not have physical or emotional conditions, past or present, of which I am aware, which could in any way affect my (or my child) ability to participate in this activity. I have read and understand this waiver. This form shall be considered valid until canceled or changed in writing by the undersigned and received by the Town. My signature acknowledges that I understand and agree to the above conditions. (Name of Parent if Under 18 years of age) *
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A copy of your responses will be emailed to the address you provided.
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