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Keep Columbia County Beautiful PARTICIPANT WAIVER (To be completed by each participant) KEEP COLUMBIA COUNTY BEAUTIFUL DOES HEREBY ENCOURAGE PARTICIPATION IN THE CLEAN-UP BY ELIGIBLE PARTICIPANTS. HOWEVER, KEEP COLUMBIA COUNTY BEAUTIFUL, COLUMBIA COUNTY BOARD OF COMMISSIONERS AND COLUMBIA COUNTY, GEORGIA DO NOT ACCEPT ANY LIABILITY OR RESPONSIBILITY FOR ANY DAMAGES RESULTING FROM PARTICIPATION IN THIS EVENT. THIS INCLUDES, BUT IS NOT LIMITED TO BODILY INJURY AND/OR PROPERTY DAMAGE TO PARTICIPANTS SUSTAINED DURING THE EVENT AS WELL AS BODILITY INJURY OR PROPERTY DAMAGE SUSTAINED BY A THIRD PARTY WHICH MAY BE CAUSED BY A PARTICIPANT. PARTICIPATION IN THIS EVENT IS NOT COVERED BY ANY COUNTY INSURANCE POLICY. THOSE PARTICIPATING ARE NOT CONSIDERED AGENTS OR VOLUNTEERS OF THE ABOVE ENTITY BUT MERELY PARTICIPANTS IN THE EVENT FOR BEAUTIFICAITON AND IMPROVEMENT OF THE ENVIRONMENT. EVENT TITLE: Adopt-A-Mile Litter Pick-up I/We, as participant(s) or the custodial parent(s)/guardian(s) of the minor participant identified on this agreement, inconsideration of the obligations undertaken by Keep Columbia County Beautiful, under this agreement, hereby accept this agreement and consent to participation in this event. MINOR PARTICIPANT: AGE: Names of custodial parent(s)/guardian(s) and phone number(s): ADULT PARTICIPANT: Address Phone Signature(s): Date Date