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Adopt-A-Street Program Volunteer Agreement

Please correct the field(s) marked in red below:

Waiver form to be filled out by individual volunteers participating in the Adopt-A-Street program.

Name

 *

Organization

 *

Street Address

 *
Street Address

Phone

 *
Phone

Email Address

 *

Volunteer Waiver

I accept and agree to the terms stated below and register to volunteer with the City of Goodyear.

Volunteer Waiver I accept and agree to the terms stated below and register to volunteer with the City of Goodyear.

I, desiring to volunteer my time and services, hereby agree to release, hold harmless and indemnify the City of Goodyear, its officers, agents and assigns, and its members, officers, agents and assigns, from any and all liability or claims of injury or damages of whatsoever nature which may be incurred by me as a result of my voluntary participation in the "Adopt-A-Street" program sponsored by the City of Goodyear. I understand that my volunteer activities for the City of Goodyear will not be covered by workers compensation. I further understand that the work involved in the Program may include activities hazardous to the volunteer, including but not limited to the following activities:

Picking up trash and debris and pulling/cutting weeds in Right of Ways of local streets or the Goodyear Ballpark.

I further represent and certify that I am physically able to do the various activities described above without limitation, and that I have no disabilities which might prevent me from doing the same.

I certify that either I am 18 years of age or older as evidenced by my acceptance of these terms.

I hereby grant and convey to the City of Goodyear all rights, title, and interest in any and all photographic images and video or audio recordings made by the City of Goodyear during the volunteer’s activities with respect to the Program, including but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings.

Thank You for Volunteering!
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