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ShopCameron Brister2021-05-18T16:48:17-05:00

1General Information

2Organization Information

3Communication Preferences

Name*
First Last
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Are you registering on behalf of an organization?*
- Yes
- No
What event are you volunteering for?*
Choose a date to volunteer*
MM slash DD slash YYYY
Do you have any special needs?*
- Yes
- No
Please list your special needs*

What are your areas of interest?*
- Beautification
- Recycling
- Litter Reduction
- Education
What is your preferred method of communication?*
- Phone Call
- Text Message
- Email
Phone
This field is for validation purposes and should be left unchanged.

Name*
First Last
Email*
What event are you checking in for?*
Do you need a letter confirming your service hours?*
- Yes
- No
Terms of Participation*
I agree to the terms of participation
I understand that I am engaging in activities that may expose myself to dangers both from known risks and unanticipated risks. By signing this form, I discharge and holds harmless Ouachita Green, Keep Monroe Beautiful, Keep West Monroe Beautiful, Keep Ouachita Parish Beautiful, and their representatives from any and all liability, claims, losses, suits, damages, and demands of whatever kind of nature arising or resulting from property damage, bodily or personal injury and/or death that may be caused by Ouachita Green's negligence or otherwise.

By signing this form, I also understand that Ouachita Green, its partners, and affiliates may use all photographic images, videos or audio recordings, video or audio reproductions, films, radio or television broadcasts and any other reproductions of the activities without limitation.
Signature*
Comments
This field is for validation purposes and should be left unchanged.