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United By Blue Cleanups Waiver

I acknowledge that I am voluntarily assisting in a United by Blue cleanup event. I have read a description of this volunteer activity and/or have been briefed on the activity and understand that this activity may involve hazards to me, my real or personal property.  However, I am willing to take the risk of such hazards in order to participate as a volunteer in this activity.  I hereby agree to assume those risks.
I understand as a volunteer that I will not be paid for my services, that I will not be covered by any medical or other insurance coverage provided by any of the coordinators of the United by Blue cleanup, and that I will not be eligible for any Workers Compensation benefits. I understand that I am not acting as an agent, authorized representative or employee of United By Blue and not entitled to any benefits which may accrue thereto.
I hereby agree that I, and anyone else claiming through me, will not make a claim against United By Blue (UBB), any of its affiliated retailers and partner organizations, or either of their staff collectively or individually, or the supplier of any materials or equipment that is used by the cleanup, or any of the volunteer workers, for the injury or death to me or damage to my property, however caused, arising from my participation in the cleanup. This release is intended to be broad in its effect. 
I further grant United by Blue (UBB) a non-exclusive right to use photographs and videotape taken during this event of myself to promote UBB’s  activities.   Use may include but is not limited to publications, website, social media, annual reports, brochures, and electronic and print media.
I understand the physical requirements of participation in this activity and I meet(s) these requirements. I give permission for coordinators, staff and emergency personnel to make necessary first aid decisions in the event of accident, injury or illness. In the case of injury, accident, illness or inability to complete these activities, I will bear the full cost of any expense incurred due to any injury to myself or damage to my property. 
I certify that to my knowledge there is no medical reason which would prevent me from safely participating in the UBB Cleanup. In consideration of being allowed to participate in this activity, I hereby release and hold harmless UBB and its employees, directors, and agents from any and all claims that may arise from or relate to my participation in this activity, including negligence on the part of any of them.

Cleanups Road Crew Member Form

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