Volunteer Registration
Responsible Stewardship, Inc.
Name:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Name of Emergency Contact:
*
First Name
Last Name
Emergency Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
I understand that participation in a voluntary litter cleanup activity can involve inherent risks, including risk of physical injury, pain, suffering, illness, and I assume all related risks and voluntarily participate in the litter cleanup activity. I agree to indemnify Releasee against any and all claims, actions, lawsuits, damages and judgments, including attorney's fees, arising out of or relating to my participation in the voluntary litter cleanup activity. I have carefully read the RS Safety Guidelines found on www.responsiblestewardship.org and fully understand all the provisions of this Release and am freely, knowingly and voluntarily entering into this Release.
*
YES
NO
Do you agree to your photo or videos being taken during an RS event/cleanup and for the photo to be posted on RS's website and/or socail media?
*
YES
NO
Today's Date:
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: