Street To Beach Cleanups | ONLINE SIGN UP & ADOPT-A-BEACH WAIVER OF LIABILITY AND EXPRESS ASSUMPTION OF RISK

I understand and agree as follows: 1. I am volunteering my services for Street to Beach Cleanup (“the Event”); 2. I will perform only those tasks assigned, observe all safety rules, and use reasonable care in the performance of my assignments; 3. I acknowledge that I am engaging in this activity as a volunteer and not as a State of California employee, agent, official, officer or representative, and further acknowledge that I am not entitled to any compensation, benefit or insurance coverage from the State of California, the Department of Parks and Recreation, the California Coastal Commission, the California State Parks Foundation, or any agent thereof including any Event promoter, sponsor, or organizer.  

I understand and agree that Event Sponsors and their respective employees, officers, agents or assigns (collectively referred to as “Released Parties”), are not to be held liable or responsible in any way for any injury, death or other damages to me or my family, heirs, or assigns that may occur as a result of my participation in the Event, or as a result of product liability or the negligence, whether passive or active, of any party, including Released Parties, in connection with the Event. Released Parties include, but are not limited to, the following:The State of California, California Coastal Commission, California State Parks Foundation, California Department of Parks & Recreation, California Department of Fish & Wildlife, California Department of Transportation, and any agents thereof conducting the Event; California State Parks, City of Belmont, City of Brisbane, City of Burlingame, City of Daly City, City of East Palo Alto, City of Foster City, City of Half Moon Bay, City of Menlo Park, City of Millbrae, City of Redwood City, City of San Bruno, City of San Carlos, City of San Mateo, City of South San Francisco, City of Pacifica, Town of Colma, Town of Portola Valley, Montara  (unincorporated San Mateo County), San Mateo County, San Mateo County Harbor District, Coastside Land Trust, Friends of Bedwell Bayfront Park, Friends of Fitzgerald Marine Reserve, Grassroots Ecology, Half Moon Bay Rotary Club, Marina Lagoon Action Committee, Marine Science Institute, Pacific Beach Coalition, Pillar Point Harbor, Redwood City Pride and Beautification Committee, Redwood High School, RethinkWaste, Sea Hugger, Sequoia Yacht Club, San Gregorio Environmental Resource Center, St. Matthew’s Catholic School, Surf Rider Foundation of San Mateo County, TLC Locals, The Club at Westpoint, Bair Island Aquatic Center, Alameda County Clean Water Program, Alameda County RCD, East Bay Regional Park District, City of Berkeley - Shorebird Park Nature Center, City of Fremont, City of Livermore - Living Arroyos, City of Oakland, Port of Oakland, Premier Mushrooms, The Watershed Project, Santa Clara Valley Water District, Environmental Health Institute, US Army Corps of Engineers (Bay Model Visitor Center), Save Our Shores, SF Recreation and Park Department, Golden Gate National Parks Conservancy, San Mateo County Environmental Health, Oakland Yacht Club, Aeolian Yacht Club, Ballena Bay Yacht Club and Ballena Isle Marina, Grand Marina, Alameda Community Sailing Center, and Oakland Marinas. 

I understand and agree to assume the risks related to cleaning up beaches or inland water areas, including but not limited to, the risks of possible injury, infection, and loss of life as a result of contact with needles, condoms, metal objects, burning embers and other hazardous materials, wild animals, and poisonous plants; as well as the risks from overexertion and environmental conditions, including but not limited to wave activity, flooding, rockslides, sun exposure, and dangerous terrain.  

I understand and agree to assume the risks related to the use of any watercraft, whether as an operator or passenger, including but not limited to risks related to marine facilities, fuels and lubricants, weather, tides and other water movement, operational proficiency, overexertion by myself or others on the craft, collisions, and conditions such as water temperature, including the risks associated with hypothermia, sun exposure, swimming proficiency, and rescue efforts.  

In the circumstance of injury or illness, I authorize qualified emergency medical professionals to examine and administer emergency care to me, regardless of whether I am able to specifically agree to treatment at the time it is administered. I understand and agree to assume the risks related to medical treatment. 

I HEREBY RELEASE AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY CLAIM OR LAWSUIT FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH, BY ME, MY FAMILY, ESTATE, HEIRS, OR ASSIGNS, ARISING OUT OF PARTICIPATION IN THE EVENT, INCLUDING CLAIMS ARISING DURING THE ACTIVITY AND AFTER I COMPLETE THE ACTIVITY, AND INCLUDING CLAIMS BASED ON NEGLIGENCE OF OTHER PARTICIPANTS OR THE RELEASED PARTIES. 

I agree to allow my image to be used in published materials and websites that promote the programs of the California Coastal Commission or any coastal programs conducted by the Released Parties. 

Unless I opt out here, I agree that the PBC may contact me about future beach cleanups and volunteer opportunities.

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Untitled Title
First Name *
Last Name *
Email *
Town of Cleanup Location *
If Other,  add the name of your town below.
More Details on The Cleanup Location (name of neighborhood, street, parks, beach...)
Home Address *
street, city, state
Zip Code *
Phone *
Are you coming with your school or other organization?
If yes, please tell us which one.
Are you or the person you are filling out this form for over the age of 18?
*
Please remember to fill out a new form for everyone in your party. 
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