Register Your Event

This form will ask you to set up your Cleanup Group and all the particulars of your event. What you type on this form will appear on your Cleanup Event page. You can also edit this info later.

What is the name of your Cleanup group?(Required)

Part of a larger Cleanup group? If so, please include below:

Ex: Essex 3 Villages, Fort River Cleanup, Franklin County Rivers Cleanup, etc.

My group is open to the public:(Required)

Yes

Hidden

Your Cleanup Site

Your Adopted Site(Required)

Meeting Location(Required)

Add details about your meeting location, if different from Cleanup site name, including parking info.

Hidden

About Your Event

Check all that apply to your Cleanup group or site:(Required)

This will display on your group cleanup page.

Family-friendly

Adults only (18+)

On land (beach, shoreline, neighborhood)

By boat (kayak, canoe, powerboat)

Underwater

Accessible Site

Event Description(Required)

Describe the activities of your event and what will occur (i.e. schedule of the day, what to bring, any other info you want your volunteers to know). This will be publicly displayed on your event page (you can edit it at any time).

Event City(Required)

The city where your Cleanup event will take place.

Event State(Required)

Event Date(Required)

Hidden

Event End Date

Optional Event Rain Date

Enter a rain date if available – if none, leave blank.

Event Start Time(Required)

Event End Time(Required)

My event will have a limited number of volunteers.(Required)

Yes

How many volunteers are needed?

Enter the maximum number you can support.

What do you plan to do with the trash you collect?(Required)

I will contact my local DPW/Transfer Station and will drop it off there

I will take my trash/recycling home and incorporate into my household waste

Other

Your Information

Group Leader First Name(Required)

Group Leader Last Name(Required)

Group Leader Email Address(Required)

Group Leader Phone Number(Required)

Group Leader phone number is:(Required)

Mobile

Landline

Work

Are you an adult or youth?(Required)

Adult (18 or older)

Youth (under 18)

What is your birthday?(Required)

Month

Day

Year

Group Leader Address(Required)

Enter your primary address.

Street Address Address Line 2 City State ZIP Code

Profile Photo (optional)

This will show up as your avatar on your event page. Please upload a square image no larger than 1080x1080. This can be added later if you choose.

Accepted file types: jpg, jpeg, png, heic, Max. file size: 5 MB.

Waiver(Required)

Volunteer & Event Participant Waiver of Liability and Photo Release Form

Please read carefully! This is a legal document that affects your legal rights!

This Volunteer & Event Participant Waiver of Liability and Photo Release Form (the “Release”) executed on the date entered in the form below, in 2024, by the Participant, whose name is entered in the form below, in favor of the Connecticut River Conservancy, a nonprofit corporation, their directors, officers, employees, agents, and Tributary affiliate (collectively, “CRC”). If Participant is under 18 years of age, the legal guardian of Participant must agree to these terms and submit the form below.

The Participant desires to participate with CRC and engage in the activities related to being a participant during the CRC outdoor events (the “Activities”). The Participant understands that these Activities may include inherent and other risks.

The Participant hereby freely, voluntarily, and without duress executes this Release under the following terms:

Release and Waiver. Participant does hereby release and forever discharge and hold harmless CRC and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Participant’s Activities with CRC.

Participant understands that this Release discharges CRC from any liability or claim that the Participant may have against CRC with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Participant’s Activities with CRC, whether caused by the negligence of CRC or its officers, directors, employees, or agents or otherwise. Participant also understands that CRC 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.

Medical Treatment. Participant does hereby release and forever discharge CRC from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Participant’s Activities with CRC.

Assumption of the Risk. The risks of the Activities the Participant may be subjected to during their participation with CRC include, among others, the following; injury from exposure to non-motorized and/or motorized water travel, including collisions and capsizing; use of hand tools, digging, hammering, moving rocks, branches and bushes, and basic wood construction; walking on uneven terrain, including while carrying heavy loads of materials, supplies and tools; unpredictable weather; the risk of being on and around deep, cold and fast moving waters with obstacles over and below the water; and any and all other risks associated with the environment, remote locations and the tasks undertaken as a volunteer participant in the above referenced activities.

Participant hereby expressly and specifically assumes the risk of injury or harm in the Activities and releases CRC from all liability for injury, illness, death, or property damage resulting from the Activities. In the event of illness or injury, the Participant hereby consents to be provided with emergency medical care, hospitalization or other treatment, which may become necessary during the participation of the Activities above referenced.

Insurance. The Participant understands that, except as otherwise agreed to by CRC in writing, CRC does not carry or maintain health, medical, or disability insurance coverage for any Participant.

Photographic Release. Participant does hereby grant and convey unto CRC all right, title, and interest in any and all photographic images and video or audio recordings made by CRC or its agents during the Participant’s Activities with CRC, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Each Participant is expected and encouraged to obtain his or her own medical or health insurance coverage.

Other. Participant expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the Commonwealth of Massachusetts, and that this Release shall be governed by and interpreted in accordance with the laws of the Commonwealth of Massachusetts. Participant agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

IN WITNESS WHEREOF, Participant has executed this Release as of the day and year entered below. Guardian must agree to the terms above and submit the form below if Participant is under 18 years of age.

I agree to the waiver

Co-Leader 1 (Optional)

Co-Leader 1 First Name

Co-Leader 1 Last Name

Co-Leader 1 Email Address

Co-Leader 1 Phone Number

Co-Leader 1 Phone Number is:

Mobile

Landline

Work

Are you an adult or youth?

Adult (18 or older)

Youth (under 18)

Co-Leader 1 Birthday

Month

Day

Year

Co-Leader 1 Address

Enter your primary address.

Street Address Address Line 2 City State ZIP Code

Waiver

Volunteer & Event Participant Waiver of Liability and Photo Release Form

Please read carefully! This is a legal document that affects your legal rights!

The Participant hereby freely, voluntarily, and without duress executes this Release under the following terms:

Insurance. The Participant understands that, except as otherwise agreed to by CRC in writing, CRC does not carry or maintain health, medical, or disability insurance coverage for any Participant.

Each Participant is expected and encouraged to obtain his or her own medical or health insurance coverage.

I agree to the waiver

Co-Leader 2 (Optional)

Co-Leader 2 First Name

Co-Leader 2 Last Name

Co-Leader 2 Email Address

Co-Leader 2 Phone Number

Co-Leader 2 Phone Number is:

Mobile

Landline

Work

Are you an adult or youth?

Adult (18 or older)

Youth (under 18)

Co-Leader 2 Birthday

Month

Day

Year

Co-Leader 2 Address

Enter your primary address.

Street Address Address Line 2 City State ZIP Code

CAPTCHA

Waiver

Volunteer & Event Participant Waiver of Liability and Photo Release Form

Please read carefully! This is a legal document that affects your legal rights!

The Participant hereby freely, voluntarily, and without duress executes this Release under the following terms:

Insurance. The Participant understands that, except as otherwise agreed to by CRC in writing, CRC does not carry or maintain health, medical, or disability insurance coverage for any Participant.

Each Participant is expected and encouraged to obtain his or her own medical or health insurance coverage.

I agree to the waiver