2013
KEEP HAYWARD CLEAN AND GREEN
ANNUAL CITYWIDE CLEAN-UP DAY EVENT
Saturday, April 20th 8 am-12 Noon
Sign In At Weekes Park, 27182 Patrick Ave.
Questions, call 510-583-4343

1. VOLUNTEER LITTER PICK-UP

 
1. Participant Name
2. Group Name (If Applicable)
3. Is Participant over 18 Years Old?
4. Contact Information - We will send you an email confirmation
5. Do You Need A Community Service Hours Certification?
PLEASE SELECT YOUR CHOICE OF CLEAN-UP AREA(S):

6. Walking distance from the Park:
7. Select Another Clean-Up Area(s) not listed above.
Please type in the street(s) below:
8. FREE BARBECUE LUNCH FOR VOLUNTEERS!
9. Complimentary Volunteer Thank You Gift!
Please Note:
Adult supervision is NOT provided by the City of Hayward at this event. All volunteers under the age of 18 must be accompanied by a participating adult in their group.

Participant Agreement:
I, the undersigned, being of lawful age or the parent or legal guardian of the volunteer involved in the City of Hayward litter pick-up effort, in consideration of being allowed to participate in this effort, hereby release, discharge, and by these presents do for myself, my marital community, heirs, executors and assigns, release, acquit and forever discharge the City of Hayward, a municipal corporation, and its officers, agents and employees from any and all actions, causes of action, claims or any other thing whatsoever on account of or in any way related to or arising out of my participation in the City of Hayward litter pick-up event.

Further, I assume liability for any non-participants who accompany me. By clicking the DONE button, you agree to the terms stated.
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