Cleanup Registration Form

2024 Fall Cleanup Registration-Norris Dam Marina

Participant's Name

If the participant is a minor, please enter Guardian's Name.

Address

City

Zip Code

Mobile Phone Number

I give the Norris Lake Project Team permission to add my email address to the Team's mailing list for announcements on events, workshops and meetings and I understand that my email address will not be sold or shared.

Yes

VOLUNTEER RELEASE OF LIABILITY STATEMENT: I do hereby release, hold harmless, and discharge the Norris Lake Project, Tennessee Valley Authority, Tennessee State Parks, Anderson County Tourism Council, Campbell County Littler Grant Program, Middle East Tennessee Tourism Council and all other sponsoring agencies, their officers, agents and employees from any and all liability for injury to my person, damage to my property, or death, whether or not such liability is based upon allegations of negligence while participating in the Norris Lake Clean Up. I acknowledge the fact that working in the area of Norris Lake can be a potentially dangerous activity, and that I accept the risks associated with this work. I further give permission to the Norris Lake Project Team to use my image in traditional and social media.

I AGREE

I DO NOT AGREE

PARENTAL OR LEGAL GUARDIAN CONSENT RELEASE: (Required if volunteer is under the age of 18.) I certify that I am the parent or legal guardian of the minor volunteer named above and hereby grant permission for him/her to participate as a volunteer in the Norris Lake Clean Up. I further agree to abide by the stipulations set forth in the above paragraphs. I give consent for my child to receive emergency medical services. I further give permission to the Norris Lake Project Team to use my child’s image in traditional and social media.

I AGREE

I DO NOT AGREE