waiver | Litter Free Upland

Volunteer Name

Volunteer Email

Volunteer Date of Birth

Volunteer Phone Number

If under 18 - Guardian info is Required!

Guardian Name

Guardian Email

Guardian Contact Number

Emergency Contact Name

Emergency Contact Number

Allergies / considerations

Medications: Volunteers must manage their own routine medications. Bring necessary personal medications (e.g., inhalers, EpiPens) and inform a leader of location as needed.

I have read and agree to the participationliability waiver

I agree to contact a leader if I do NOT want my photos on social media. We are more than happy to accomodate. We do have a lot of fun and post regularly with our volunteers.

Sign below with finger

I agree to use an e-signature in lieu of physical signature

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If under 18 - Guardian info is Required!

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One last donate link in case you missed it.