KEEP ATLANTA BEAUTIFUL - BeltLine Cleanup Registration

Existing or Upcoming Cleanup Groups

Hosting Organization	Cleanup Project	Cleanup Location	Cleanup Date/Time	Contact	Description
H4WPC, Fourth Ward Alliance, District 2	Historic Fourth Ward Park & BeltLine (60+ volunteers needed)	Around the park- meeting locations TBA	4/17/2010 9:00am-12:00pm	Alisa Chambers 404-659-0919	Removal of trash and debris along the BeltLine overlooking the park and on the surrounding streets. We will meet in 3 different locations, to be announced. Moderate work required, children welcome. Please contact Alisa Chambers if you have any questions. More details will be provided before the event.
Heritage Valley Community Organization	Heritage Valley Neighborhood Clean-up (20 volunteers needed)	section of fairburn road and various streets in Heritage Valley Neighborhood	5/1/2010 9am -12 noon	Ms. Lang 404 453-9140	Removal of trash and debris in the Heritage Valley Community and surrounding streets.More details will be emailed prior to the event.
Keep Atlanta Beautiful, BeltLine Partnership, BeltLine Inc, Trees Atlanta, Park Pride	Earth Day BeltLine Cleanup (150 volunteers needed)	Montgomery Ferry Road to Westminster Drive	4/17/2010 8:00 a.m. to Noon	Peggy Denby 404-249-5853	Pick up trash, clear paths of vines and invasive plants on BeltLine. Moderate to heavy work. Rally before cleanup with coffee and light breakfast. Please bring your own water bottles. Sack lunch and thank you gift provided after cleanup. More details will be emailed prior to event.
NPU - H	Earth Day (50 volunteers needed)	NPU - H	4/17/2010 08:00 AM	Charles Shelton / Phyllis Wyatt 678 558 8898 / 404 451 3436	Removal of trash and debris in the NPU - H neighborhoods.
Riverside Neighborhood Assocation	Riverside Neighborhood Cleanup	OneRiverside 2030 Main Street, Atlanta, GA 303018	3/20/2010	Michael Nolan 404-323-9827	Picking up trash and recyclables, clearing street drains and gutters of leaves and debris.

Register for a cleanup today!
Note: Each volunteer must register individually. Please choose a cleanup project from the "Choose a Cleanup Project" drop-down menu. Those under age 16 must be accompanied by an adult, who must also register.

Choose Cleanup Project :

First Name :

Last Name :

Organization / Company :
(if applicable)

Address Type :

Home Work

Address 1 :

Address 2 :

City :

State :

Zipcode :

Phone Type :

Home Work Mobile

Phone number :

Fax number :

Email address :
(required)

Have you been to a meeting or event held by one of the partner groups before? :

Yes No

Have you volunteered with one of the partner groups before? :

Yes No

Will you bring your own (reusable) water bottle? :

Yes No

How did you hear about this event?

(check all that apply) :

Facebook
Twitter
eMail Newsletter
Newspaper
Magazine
TV
Online (please specify website)

Other (please specify)

Would you like to receive information from the event partner organizations? :

Yes No

Waiver :
(Each volunteer must read and check the liablility waiver.)

I, in consideration of my participation in BeltLine or other cleanup projects, hereby agree for myself and my heirs, assigns and legal representatives, to indemnify and defend and hold Keep Atlanta Beautiful, Inc. and BeltLine Inc. and each of their officers, directors, employees, volunteers, agents and all other persons officially connected to the cleanup projects (the “Indemnitees”) harmless from liability for any and all claims and causes of action of any nature for any and all personal injury, including death, and for all damage to or loss of personal property which might occur while I participate in a cleanup project. I waive any and all claims or causes of action which I may now or hereafter have against all Indemnitees which may at any time arise as a result of participating in cleanup projects. I further expressly understand and agree that the foregoing indemnity, release and waiver is intended to be as broad and inclusive as permitted by the law of the State of Georgia and that any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, remain in full force and effect.

I understand that my participation in cleanup projects is strictly voluntary and I freely choose to participate and assume any and all risks associated with my participation. I understand that none of the named Indemnitees provides medical coverage for me and I verify that I will be responsible for any medical costs I incur as a result of my participation in cleanup projects.

I agree to these conditions.

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