Community Clean-Up | Volunteer Sign-Up

Name *

First Name Last Name

Phone Number *

Please enter a valid phone number.

Email *

example@example.com

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Registration Type *

Group Name:

Number in Group *

Preferred Service Location:

Example: The ranches, City Center, North Ranch, etc.

Preferred Service Project *

This project will be at various locations throughout the city as needed. Please confirm you will not have anyone in your group younger than 14 years of age. *

Yes No

Trash clean-up will take place throughout the city as needed. This is suitable for all ages. Please bring your own gloves and wear closed-toe shoes. *

I read and understand that I must bring my own gloves and wear closed-toe shoes.

Graffiti clean-up will take place throughout the city as needed. This project is suitable for all ages. Please wear clothes that you are okay getting paint on and closed-toe shoes. *

I have read and understand I must wear clothes that are okay to get paint on and closed-toe shoes.

Filling sandbags will take place at the Community Development building in city center. Please wear closed-toe shoes. This project is great for all ages.

I confirm all parties will wear closed-toe shoes.

I, First Name* Last Name* Volunteer my services for the Community Clean-Up projects.

As a volunteer worker:

I will complete assignments to the best of my ability.
I will observe all staff rules and policies, accept supervision, and give my supervisor adequate notice before terminating my volunteer services.
I agree to grant permission to Eagle Mountain City to reproduce and publicize pictures and/or news articles pertaining to my services to or interest in the Eagle Mountain City Volunteer Program.
I understand that in the event I am injured while performing my assignments as a volunteer, I am entitled to Workers Compensation, but for medical benefits only.
I understand that the City has the right, should this job assignment or my performance be inappropriate, to suggest alternative placement or terminate my volunteer services.
I understand that I will receive no monetary compensation for this volunteer service.

WAIVER OF LIABILITY: I agree to waive all claims for personal injury or property damage against Eagle Mountain City and to assume full responsibility for volunteer participation with Eagle Mountain City and release the City from any damages or injury which I may sustain working on a volunteer project. However, I am still entitled to indemnification and representation if I am sued for actions performed as a volunteer, as provided in State law and City ordinances. *

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Eagle Mountain City Community Clean-Up