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Planet Trooper Registration

  1. Procedures For Participating In The 2022 Planet Trooper Program:

    Keep Odessa Beautiful invites all the Odessa Youngsters to participate in our 2022 Planet Troopers Summer Program. You can pick up your cleanup supplies/materials and complete your cleanup anytime up from April 10th - June 10th. You have the option to clean anywhere in the Odessa community and/or around your neighborhood or home. Then, on Saturday (June 11th) at McKinney Park from 10:00am-1:00pm; we will have a huge celebration with food, prizes, fun entertainment, and much...much more! In order to be qualified to win the BIG Prizes, you must complete the quick cleanup report and submit before & after pictures.

  2. 1 parent name

  3. Sizes available are kids-sm,md,lg,xl. Please specify how many of the size you are requesting.

  4. You can pick your own location in ex: home, neighborhood, park, around school, neighbors home in need.

  5. Supplies can be picked up at 119 W. 4th St suite 203 Municipal Plaza building.

  6. If answer is yes how many adults and how many children?

  7. RELEASE AND WAIVER OF LIABILITYFor the Purposes of this Release and Waiver of liability agreement, Keep Odessa Beautiful refers to Keep Odessa Beautiful, Inc. Undersigned refers to the individual volunteering with Keep Odessa Beautiful and the Volunteer’s parent or guardian if the volunteer is less than 18 years of age. The Undersigned freely, voluntarily, and without duress executes this Release under the following terms:In consideration of the acceptance of this entry by Keep Odessa Beautiful in the above project/event, we, the Undersigned, individually and on behalf of our minor child/children, administrators and assigns, release, forever discharge, and hold harmless Keep Odessa Beautiful, its officers, director, employees, agents, successors, and assigns from any and all liability or claims that the Undersigned (or the Undersigned’s heirs or assigns) may have against Keep Odessa Beautiful with respect to any bodily injury, personal injury, illness, death, or property damage that may result from the Undersigned’s activities with Keep Odessa Beautiful. THE UNDERSIGNED UNDERSTANDS AND ACKNOWLEDGES THAT THE CLAIMS BEING RELEASED HEREIN INCLUDE, WITHOUT LIMITATION, CLAIMS, IF ANY, BASED ON OR IN ANYWAY RELATED TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF KEEP ODESSA BEAUTIFUL OR ITS OFFICERS, DIRECTOR, EMPLOYEES, OR AGENTS. The Undersigned also understands that Keep Odessa Beautiful does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness. The Undersigned releases and forever discharges Keep Odessa Beautiful from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Undersigned’s activities with Keep Odessa Beautiful. The Undersigned further attests and verifies that they have full knowledge of the risks involved in the project/event, that they individually assume those risks on behalf of themselves and their minor children, and that they will individually without limitations, assume and pay any medical and/or emergency expenses in the event of an accident, injury, illness or other incapacity, regardless of whether they have authorized such expenses. Photographic Release: The Undersigned hereby grants and conveys to Keep Odessa Beautiful, successors, and assigns, all right, title, and interest in any and all photographic images and video or audio recordings made by Keep Odessa Beautiful during the Undersigned’s activities with Keep Odessa Beautiful, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs and recordings.Texas Law: The Undersigned expressly agrees that this Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that it shall be governed and interpreted in accordance with the laws of the State of Texas. Furthermore, the Undersigned expressly agrees that if any one or more of the provisions contained in this Release and Waiver of Liability are held to be invalid, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver and Release of Liability, which shall otherwise continue to be enforceable.. By clicking, "I agree" below you consent that you do hereby assume all risks of injury, which may result from my and my child/children’s participation in the program, and of loss or damage to personal property arising out of or incident to the above-mentioned activity. I further testify that I understand the program of activities in which I and my child/children propose to engage in, have carefully read and understood this Waiver and Indemnity Agreement, and sign this Agreement of my own free will. With this knowledge, I assume whatever risk such activities may entail or accrue to my person, child/children, property, or equipment.
  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  10. This field is not part of the form submission.