Earth Week Cleanup

Registration & Waiver
April 22 - 28, 2024

Dates/Times are flexible.
Materials can by picked up by group leader at 150 S. Kendall St., Battle Creek MI 49037 the Department of Public Works,

Contact Bessie at bestears@battlecreekmi.gov or 269-966-3355 ext. 1889 to organize pickup date/time.
In the greater Battle Creek area we urge all residents, businesses, and institutions to use Earth Week to celebrate the Earth and promote its conservation and protection. Individuals or groups can sign up for a section of Linear Path to clean up at your own pace and on your own schedule during the week. The City will provide supplies for volunteers and pick up the collected trash at the end of the week.
- Please leave bagged debris near the Linear Path or parking area off the path but, visible to our Field Service Crews.
- Please wear appropriate shoes and clothes that can get dirty - remember rain gear if the weather forecasts a chance of rain.
- We will supply gloves, trash grabbers, trash bags, and buckets.
  - Please return all of these items to your crew leader or to the Department of Public Works when you are done.
Group Affiliation*
Individual, Company Name, High School, NHS..
I am over the age of 18 years*

First NameLast Name
I am a minor under the age of 18 years*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
All volunteers MUST sign this waiver.

All minors under the age of 18 years MUST have a legal guardian sign this waiver.
RELEASE OF CLAIMS WAIVER FORM: I fully understand that by signing this liability disclaimer, I, on behalf of myself and my agents, heirs and next of kin, assume all risks and hazards incidental to my participation in this activity, including transportation to and from these activities. I do hereby waive, release, absolve, indemnify, and agree to hold harmless, collectively, and individually, the City of Battle Creek, and Calhoun County from any claim arising from sickness, injury or death to me or my property except if caused by their gross negligence or willful and wanton misconduct. I agree that if the City of Battle Creek, and Calhoun County are sued by anyone else because of claimed conduct of myself, I will indemnify the City of Battle Creek, the City of Springfield, and Calhoun County for all damages and costs including attorney's fees.*

I accept the above waiver.
I am signing below as an adult over the age of 18 years that is participating in the event.*

Clear
Emergency Contact #*
Please enter a valid phone number.
I am signing below as a legal guardian for a minor that is participating in the event.*

Clear
Emergency Contact #*
Please enter a valid phone number.
Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Please note below any specific dates, times, or areas in the city you would like to pick up trash and add any other additional comments pertaining to the event.
Should be Empty:

Registration & Waiver

April 22 - 28, 2024

Materials can by picked up by group leader at 150 S. Kendall St., Battle Creek MI 49037 the Department of Public Works,