CAUTION Cleanup Volunteers

Please confirm the event you would like to volunteer for. (Por favor, confirme el evento en el que le gustaría ser voluntario.) * Required
- C.A.U.T.I.O.N Neighborhood Cleanup - May 17, 2025 8:00 - 12:00 PM
Name (Nombre) * Required
First Last
Email (Correo Electrónico) * Required
Enter Email Confirm Email
Phone (Teléfono) * Required
Will you be bringing a minor child with you to this event? (Llevarás a un niño contigo a este evento?) * Required
- Yes, I am the Parent/Legal Guardian of a minor child who will be joining me for this event. (Sí, soy el padre/tutor legal de un niño menor de edad que se unirá a mí para este evento.)
- No, I will not be bringing a minor child to this event. (No, no llevaré a un niño menor de edad a este evento.)
Name (Child) (Nombre del Niño) * Required
First Last
Release And Hold Harmless Agreement (Liberar y Eximir de Responsabilidad al Acuerdo) * Required
I do hereby voluntarily agree and fully understand participation in City of Montclair programs and activities (“hereinafter Programs”), exposes me to the risk of personal injury, death, or property damage. I also understand and acknowledge the contagious nature of COVID-19 and my participation in these Programs may cause me to be exposed or infected by COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability, or death.

I hereby acknowledge that I am voluntarily participating in these programs and agree to assume any such risks, including the risks of injuries from cuts, sprains, back injury, broken bones, and falls on public property. I also understand I must follow all safety measures outlined by the State of California Department of Public Health. Face coverings and maintaining a distance of six feet from non-household members is not required but highly recommended when participating in activities.

I hereby release, discharge and agree not to sue the City of Montclair, its officers, agents, employees, contractors, volunteers and representatives (hereinafter “City”), and/or any co-participants, for any injury, death, or damage to or loss of personal property arising out of, or in connection with, my participation, in the Programs from whatever cause, including the active or passive negligence of the City, of the instructor/coach, or of any other participants in the Programs.

In consideration for being permitted to participate in City of Montclair programs and activities, I hereby agree, for myself, my heirs, administrators, executors, and assigns, that I shall indemnify, defend and hold harmless the City from any and all claims, demands, actions, or suits arising out of or in connection with my participation in the Programs.
I have carefully read this release, hold harmless and agreement not to sue and fully understand its contents. I am aware that it is a full release of all liability and sign below of my own free will. (He leído detenidamente este comunicado, me eximo de responsabilidad y acepto no demandar y comprendo completamente su contenido. Soy consciente de que es una liberación total de toda responsabilidad y firmo a continuación por mi propia voluntad.)
Participant Initials (Iniciales del Participante)
Release And Hold Harmless Agreement - Child (Acuerdo de Liberación y Eximir de Responsabilidad - Niño) * Required
I do hereby voluntarily agree and fully understand participation in City of Montclair programs and activities (“hereinafter Programs”), exposes my child to the risk of personal injury, death, or property damage. I also understand and acknowledge the contagious nature of COVID-19 and my participation in these Programs may cause my child to be exposed or infected by COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability, or death.

I hereby acknowledge that my child is voluntarily participating in these programs and agree to assume any such risks, including the risks of injuries from cuts, sprains, back injury, broken bones, and falls on public property. I also understand my child must follow all safety measures outlined by the State of California Department of Public Health. Face coverings and maintaining a distance of six feet from non-household members is not required but highly recommended when participating in activities.

I hereby release, discharge and agree not to sue the City of Montclair, its officers, agents, employees, contractors, volunteers and representatives (hereinafter “City”), and/or any co-participants, for any injury, death, or damage to or loss of personal property arising out of, or in connection with, my child’s participation, in the Programs from whatever cause, including the active or passive negligence of the City, of the instructor/coach, or of any other participants in the Programs.

In consideration for being permitted to participate in City of Montclair programs and activities, I hereby agree, for myself, my child, my heirs, administrators, executors, and assigns, that I shall indemnify, defend and hold harmless the City from any and all claims, demands, actions, or suits arising out of or in connection with my child’s participation in the Programs.
I have carefully read this release, hold harmless and agreement not to sue and fully understand its contents. I am aware that it is a full release of all liability and sign below of my own free will. (He leído detenidamente este comunicado, me eximo de responsabilidad y acepto no demandar y comprendo completamente su contenido. Soy consciente de que es una liberación total de toda responsabilidad y firmo a continuación por mi propia voluntad.)
Parent/Guardian Initials (Iniciales del padre/tutor)
Media Release - Optional (Comunicado de Prensa - Opcional)
I hereby give the City of Montclair, its legal representatives and assigns, the right and permission to, adapt, modify, reproduce, distribute, publicly perform and display, in any form now known or later developed, my image or visual likeness, name and/or voice, by incorporating it or them into publications, catalogues, brochures, newsletters, photo exhibits, videos taken during activities or at special events sponsored by the City of Montclair where I may appear, webpages, and/or other media or commercial, informational, educational, training, advertising, recruiting or promotional materials relating thereto using any means, method or media which the City of Montclair deems appropriate in its sole discretion. I make this grant of rights with the understanding that no compensation will be paid to me for such grant.
I hereby warrant that I, the undersigned, am over eighteen (18) years of age and am competent to contract in my own name so far as the above material is concerned and that I do not have any pre-existing obligation that may restrict or limit my ability to sign this Authorization and Release. (Por la presente garantizo que yo, el abajo firmante, soy mayor de dieciocho (18) años de edad y soy competente para contratar en mi propio nombre en lo que respecta al material anterior y que no tengo ninguna obligación preexistente que pueda restringir o limitar mi capacidad para firmar esta Autorización y Liberación.)
Participant Initials (Iniciales del Participante)
Media Release - Child (Optional) (Comunicado de Prensa - Secundario) (Opcional)
I hereby give the City of Montclair, its legal representatives and assigns, the right and permission to, adapt, modify, reproduce, distribute, publicly perform and display, in any form now known or later developed, my child’s image or visual likeness, name and/or voice, as well as writing, creations and artwork created by my child, by incorporating it or them into publications, catalogues, brochures, newsletters, photo exhibits, videos taken during activities or at special events sponsored by the City of Montclair where me or my children may appear, webpages, and/or other media or commercial, informational, educational, training, advertising, recruiting or promotional materials relating thereto using any means, method or media which the City of Montclair deems appropriate in its sole discretion. I make this grant of rights with the understanding that no compensation will be paid to me or my child for such grant.
I hereby warrant that I, the undersigned parent or guardian, am over eighteen (18) years of age and am competent to contract in my own name so far as the above material is concerned and that neither I nor my child has any pre existing obligation that may restrict or limit my ability to sign this Authorization and Release. (Por la presente garantizo que yo, el padre o tutor abajo firmante, tengo más de dieciocho (18) años de edad y soy competente para contratar en mi propio nombre en lo que respecta al material anterior y que ni yo ni mi hijo tenemos ninguna obligación preexistente que pueda restringir o limitar mi capacidad para firmar esta Autorización y Liberación.)
Parent/Guardian Initials (Iniciales del Padre/Tutor)

C.A.U.T.I.O.N. Cleanup Volunteer Sign-up