2019 Fall Sweep Registration

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

Fall Sweep kick off will be on September 21, 2019 at Noel Heritage Plaza from 8:00 a.m. - 11:00 a.m. Group or individuals will have the flexibility to schedule cleanup beginning Sept. 21 until Nov. 9. On Sept. 21 all supplies can be picked up. Join us for coffee, water, pastries and donuts. Come meet Keep Odessa Beautiful staff ,board members and other volunteers.
1

Group Name

 *
2

Group Type

Group Type
3

Contact Person

 *
4

Phone Number

 *
5

Number of participants

 *
6

Email

 *
7

Please join us in our continued effort to create awareness on the importance of keeping our community litter free and beautiful by entering the Fall Cleanup Contest. 

 PARTICIPATE IN THE CLEANUP CONTEST TO WIN GREAT PRIZES!

 

Contest Categories:

  1. Most bags of litter collected.
  2. Most engaged group ( social media) Instagram-Facebook

Contest Guidelines:

  • Must submit category/categories that apply to kob@odessa-tx.gov
  • Must submit before and after pictures of clean up.
  • Must dispose of all bags of litter collected and take recyclables to our Recycle Center located at 816 W. 42nd.

 NOTE: If you need to schedule a pick up for bags of litter collected, please contact us at (432) 335-4686. 

8
Date group/individual will participate in their cleanup activity.
 *
9

Do you have a location to clean?

Do you have a location to clean?
10

Please select T-shirt Sizes (limited quantity and sizes)

Please select T-shirt Sizes (limited quantity and sizes)
11
If you will not be able to attend our Fall Sweep Kick Off on Sept. 21 2019, Please indicate what date you will pick up your supplies.
 *
12

PHOTOGRAPHIC SUBJECT RELEASE

 I hereby grant the Keep Odessa Beautiful, Public and Media Relations Office, the right to photograph members, employees, officers, and/or any agents participating in Keep Odessa Beautiful events and to use or authorize the use of the photo for promotional purposes as related to Keep Odessa Beautiful produced publications and materials and external publications and materials where Keep Odessa Beautiful would release use of the photo to support information about Keep Odessa Beautiful programs and services.

I hereby acknowledge that no fee is payable by Keep Odessa Beautiful, Public and Medial Relations Office, for the appearance or resulting distribution, and that the provisions of this release are legally binding.

13

RELEASE FORM MUST BE SUBMITTED BEFORE

PARTICIPATION IN THE EVENT CAN BE ALLOWED

 

RELEASE AND WAIVER OF LIABILITY

For the Purposes of this Release and Waiver of liability agreement, Keep Odessa Beautiful refers to Keep Odessa Beautiful, Inc. Undersigned refers to the individual volunteering with Keep Odessa Beautiful and the Volunteer’s parent or guardian if the volunteer is less than 18 years of age.

The Undersigned freely, voluntarily, and without duress executes this Release under the following terms:

In consideration of the acceptance of this entry by Keep Odessa Beautiful in the above project/event, we, the Undersigned, individually and on behalf of our minor child/children, administrators and assigns, release, forever discharge, and hold harmless Keep Odessa Beautiful, its officers, director, employees, agents, successors, and assigns from any and all liability or claims that the Undersigned (or the Undersigned’s heirs or assigns) may have against Keep Odessa Beautiful with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Undersigned’s activities with Keep Odessa Beautiful. THE UNDERSIGNED UNDERSTANDS AND ACKNOWLEDGES THAT THE CLAIMS BEING RELEASED HEREIN INCLUDE, WITHOUT LIMITATION, CLAIMS, IF ANY, BASED ON OR IN ANYWAY RELATED TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF KEEP ODESSA BEAUTIFUL OR ITS OFFICERS, DIRECTOR, EMPLOYEES, OR AGENTS. The Undersigned also understands that Keep Odessa Beautiful does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. The Undersigned releases and forever discharges Keep Odessa Beautiful from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Undersigned’s activities with Keep Odessa Beautiful. The Undersigned further attests and verifies that they have full knowledge of the risks involved in the project/event, that they individually assume those risks on behalf of themselves and their minor children, and that they will individually without limitations, assume and pay any medical and/or emergency expenses in the event of an accident, injury, illness or other incapacity, regardless of whether they have authorized such expenses.  

Photographic Release: The Undersigned hereby grants and conveys to Keep Odessa Beautiful, successors, and assigns, all right, title, and interest in any and all photographic images and video or audio recordings made by Keep Odessa Beautiful during the Undersigned’s activities with Keep Odessa Beautiful, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs and recordings.

Texas Law: The Undersigned expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that it shall be governed and interpreted in accordance with the laws of the State of Texas. Furthermore, the Undersigned expressly agrees that if any one or more of the provisions contained in this Release and Waiver of Liability are held to be invalid, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver and Release of Liability, which shall otherwise continue to be enforceable.

  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code