Hillsborough River & Coastal Cleanup 2016

VOLUNTEER REGISTRATION FORM

Join Keep Tampa Bay Beautiful as we host the International Coastal Cleanup with various locations along the Hillsborough River, Alafia River, Little Manatee River, Lake Thonotosassa and other waterways throughout Hillsborough County.

To see Map of all locations click this link (https://drive.google.com/open?id=1uhisIF7yfcCJP4cSLD1--KEFFs0&usp=sharing.)

Saturday, September 17, 2016
8:30 to 11:30 a.m. various locations throughout Hillsborough County

+ **Little Manatee River State Park - 215 Lightfoot Rd. Wimauma 33598 (SEPT 24 date)

-- SITES MARKED WITH ** INDICATES DIFFERENT TIME AND/OR DATE --

-- IF A SITE IS NO LONGER LISTED, THEN IT HAS REACHED THE MAXIMUM NUMBER OF VOLUNTEERS NEEDED
Please select an alternate location to join from list above, or contact projects@keeptbb.org.

Registration: 8:30 a.m.
Cleanup Start time: 9:00 a.m.

What To Bring
• Work or garden gloves
• Sunscreen
• Hat/Sunglasses
• Protective footwear (close-toed, no sandals or flip-flops)

* Trash bags, water and soft gloves are provided. Promotional giveaways available while supplies last.*

Individual/Family/Group Leader Name: *
Your answer
Team Name (if applicable):
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Email: *
Your answer
Cell Phone: *
Your answer
Other Phone:
Your answer
Number of Volunteers: *
Your answer
Will you participate on the water? *
(Boat, Kayak, Canoe, Paddleboard)
Required
If Yes, what type of watercraft?
Location *
How did you hear about the Hillsborough River & Coastal Cleanup *
Your answer
Release and Waiver of Liability. I understand and agree that by executing this agreement I am expressly assuming the risk of and releasing Keep Tampa Bay Beautiful, Inc., a private non-profit organization, Hillsborough County, the City of Tampa, the City of Temple Terrace and any sponsors of the Project, and their respective directors, officers, employees, agents, contractors or representatives (collectively, the “Released Parties”) from all liability or responsibility whatsoever for any injury, death, or any other type of damages to me, my family, my heirs, my personal/legal representatives, or my assigns, however caused, that may occur as a result of my participation, including my travel to and from, the Project, including, but not limited to, injury, death or any other type of damages as a result of the negligence of any party, including the Released Parties, whether passive or active and regardless of the form of negligence. I assume full responsibility for the risk of bodily injury, death or property damage while participating, including traveling to and from, the Project, whether caused by the negligence of the Released Parties or otherwise and agree not to sue for any such cause. *
Required
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