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Adopt-A-Park Program Volunteer Application Individual or Organization Name Date Group contact person Estimated group size Address City, State, Zip Home Phone Number Work Phone Number Cell Number Email Emergency Contact Phone #1 Phone #2 How frequently do you or your group propose to participate in this program? Weekly Quarterly Other Program/Project In order for the City of Pasco to best match your interests and skills with available projects, please check opportunities of interest: Adopt-A-Park Trail Maintenance Special Interests or Talents STATEMENT OF AGREEMENT As a representative of this organization, I have read and agree to abide by the policies, regulations and safety recommendations as put forth by the City of Pasco. I understand that this is an application for the City of Pasco’s park/trail programs and that a City of Pasco representative will contact me to finalize an agreement. I understand that the City of Pasco Parks Manager will make the final decision as to whether a group can participate, and the park assigned. I also agree to maintain, but not alter, remove or destroy the present landscaping or design of the park or trail which my/our project involves. I/we understand that participation in the City of Pasco’s programs is voluntary and that participants agree to assume the responsibility for an injury or damage to person or property. Organization Contact Signature Date For Office Use Only Assigned Park Dates of Adoption: From To Organization (as it will appear on the sign): Line One Line Two New signs: Date Ordered Date Installed SIGN