Register as a Keep Middletown Beautiful Volunteer and help us keep our city clean.
CITY OF MIDDLETOWN KEEP MIDDLETOWN BEAUTIFUL, INC. VOLUNTEER RELEASE FORM
I (name), agree to perform the volunteer duties as assigned to me relating to the Earth Day 2020 (e.g. cleanup, painting, etc.) at Middletown, OH. and surrounding areas.
VOLUNTEER STATUS:
As a volunteer, I further understand and agree as follows:
Release and Indemnity:
In consideration for the opportunity to participate in this community activity, the undersigned volunteer hereby releases and indemnifies the City of Middletown and the Non-Profit Organization of Keep Middletown Beautiful, Inc. I further understand and agree that as a volunteer, I am not covered by the City of Middletown or the Keep Middletown Beautiful Organization for the purposes of workers' compensation insurance and to the extent that such coverage may apply, and by signing below under Chapter 4123 of the Ohio code for any injury or disability incurred while participating in the above volunteer activities.
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It’s up to us to #KeepMiddletownBeautiful!
Keep Middletown Beautiful1 Donham PlazaMiddletown, OH 45042(513) 425-7750