Krazy for the Kazoo Participant Signup

Registration Form & Waiver for Participants.
October 4, 2025 from 8:30am-11am.
Meet up location to be announced. Various locations are available for cleanup and stewardship projects.

Contact Bessie at beploeg@battlecreekmi.gov or 269-966-3355 x1889 to organize a pickup date/time.
For over 20 years now our community members have gathered on the 1st Saturday in October for Krazy for the Kazoo!

We are looking for individuals and groups to spend the morning walking our linear paths, at our local parks or near the Kalamazoo and Battle Creek Rivers, their tributaries, lakes and ponds to remove garbage and conduct a variety of conservation activities. These activities may include flower and/or tree plantings, rain garden and storm pond restoration, invasive species removal and trash pickup.

Find more information at bcwater.org/events.
Volunteer Information
Registrant Information*
Group Name or Affiliation*
Scout Troop #, Church, Company, School (NHS), etc.
I am signing up a group and will be the contact person/crew leader for that group.*

YesNo
Group Member(s)*
Is there a specific location in Battle Creek you would like to volunteer in? Site numbers can be found at bcwater.org/events.
Local Park, Linear Path, Near water, In the woods...
Please select all that apply.
Please select all that apply.*
Emergency Contact Information
Emergency Contact: *
Relationship*
Emergency Contact:*

Area CodePhone Number
Add any extra information you feel we should know.
Allergy (Bees or Poison Ivy), Health/Behavioral Condition, Dietary Needs/Restrictions, Activity Restriction:
Please list all that apply.
RELEASE OF CLAIMS WAIVER FORM

I fully understand that by signing this liability disclaimer, I, on behalf of myself and my agents, my group members, 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.
Confirmation

I HAVE READ AND UNDERSTAND THE AGREEMENT.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature of Registrant (Signature from Parent or Guardian if under 18).*

Clear
Date*

MonthDayYear
Any questions or comments about your registration:
We thank you for all you do!

bcwater.org
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Registration Form & Waiver for Participants.

October 4, 2025 from 8:30am-11am.

Meet up location to be announced. Various locations are available for cleanup and stewardship projects.

Add any extra information you feel we should know.

RELEASE OF CLAIMS WAIVER FORM

We thank you for all you do!