Miami-Dade Coastal Cleanup, Inc. - Release of Liability

Thank you for volunteering to participate in a Coastal Cleanup. Your participation is critical to the effort to keep our marine environment wild, safe and beautiful. The cleanup is organized by Miami-Dade Coastal Cleanup, Inc. (DBA”), a non-profit charitable organization committed to the preservation and protection of the County’s marine habitat. In consideration of permitting you to participate in the Coastal Cleanup and the after party (collectively the “Event”), the Volunteer must read, understand and agree to the information below (and a Parent or Guardian in the case of a volunteer under 18 years old) that includes, among other things, volunteer guidelines, risks associated with the Event, and a release from liability for Miami-Dade Coastal Cleanup.

In order to ensure the best and safest Event possible, volunteers must be aware of and agree to the following:

1. The Volunteer must sign this online form or turn in a hard copy of this form to the Site Captain at the registration table upon arrival.
2. The Volunteer may be working in sunny, hot, wet, or otherwise difficult conditions. As a result, we
recommend the Volunteer wear protective clothing appropriate to the conditions including, among
other things, closed-toe shoes, hats for protection from the sun, insect repellant and sunscreen.
3. The Volunteer may also want to bring items which will aid in the process of the cleanup, such as:
buckets, gloves, and tongs, it would be helpful to bring them on the day of the cleanup.
4. Consumption of intoxicating beverages, or illegal drugs, during the Event, is strictly prohibited.
5. We recommend bringing gloves and that care be used if picking up sharp or harmful objects.
Do not pick up any type of hypodermic needles or other hazardous or biohazard waste.
7. Avoid areas where snakes, jellyfish, crabs, or other dangerous species may be located.
8. I understand that pictures will be taken of the people participating in the event and I hereby release the
sponsors and allow the use of my image for purposes of promoting future Coastal Cleanup events.

The Volunteer and Parent or Guardian of said Volunteer (if applicable), and on behalf of the Volunteer’s personal representatives, heirs, next-of-kin, assigns, parents and guardians (collectively “Releasors”), do hereby release and discharge Miami-Dade Coastal Cleanup, its officers, directors, employees, volunteers, agents, representatives, sponsors, donors, affiliated organizations, all municipalities in, and including Miami-Dade County, Florida, and any entity or individual associated with Miami-Dade Coastal Cleanup (collectively “Releasees”), from any and all claims, demands losses, costs, fees (including attorneys’ fees), liabilities, causes of action and judgments whatsoever, in law or in equity (collectively “damages”), which the Releasors may have arising out of, associated, or in connection with, participation in the Event, specifically including, but not limited to, damages caused by the Releasees’ negligence.

Further, the Volunteer and parents or guardian (if applicable) understand that there are risks and dangers involved with the Event including, but not limited to, COVID-19 pandemic, equipment failure, perils of sea, changing water flow, tides, currents, wave action and ships’ wakes, collisions with watercraft and other manmade or natural objects, capsizing, sinking, or other hazards which results in injury, exposure to the elements, hypothermia, drowning, inclement weather, storms, lightning, harm caused by marine life (including bites), heat or sun related injuries or illness, including sunburn, sunstroke or dehydration, acts of fellow participants, entering or exiting the water, and boarding and disembarking boats. Therefore, the volunteer and parents or guardian (if applicable) agree to assume any and all risks associated with their participation in the event including, without limitation, any and all risks of personal injuries, including serious injury or death, or damage or loss to property, caused by, or associated with the Volunteer’s participation in the Event.
Sign in to Google to save your progress. Learn more
I have read this document and agree to be bound by its terms. *
Email Address *
Name of Volunteer(s) *
Parent or Guardian Name (for Volunteers under 18)
Enter today's date *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy