APPLICATION

Town of Grand Bay-Westfield Not-for-Profit

Community Litter Clean-up – Public Streets

Litter Clean-Up Application Form

 

Litter Clean-Up
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By submitting this form, I signify that I have read and understand this release and waiver and agree to be bound by its terms and conditions.

I hereby acknowledge and assume all risk of injury that I may sustain either directly or indirectly as a result of my volunteer participation in the litter clean-up activity. This acknowledgment and assumption serves to release the Town of Grand Bay-Westfield, its officers, departments, employees and agents (hereinafter collectively referred to as “Town of Grand Bay-Westfield”) from any and all rights, claims, injuries, damages and costs, including but not limited to those arising out of or related to my participation as a litter clean-up volunteer.

I agree to indemnify and hold harmless the Town of Grand Bay-Westfield from and against any and all claims, injuries, damages and costs, causes of action and expenses arising out of or on account of my voluntary participation in the litter clean-up activity.

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