Adult Community Service Form - Carolina Waterman

Adult Community Service Instructions

You MUST select cleanup sites that are SAFE and LEGAL to access. (DO NOT GO TO: Busy Highways, Difficult to Access Areas, Other Dangerous/Hazardous Locations)
Locations should focus on our community's public waters. (The Atlantic Ocean, Waccamaw River, ICW, Little River Inlet, Murrells Inlet, Winyah Bay, etc.)
Dress appropriately (i.e. Closed Toed Shoes, Gloves, etc.)
Use Your Phone to Take Pictures of Your Cleanup Location Before, During, and After the activity. (Make Sure Your Phone's GPS is Turned "ON" and is being recorded in the image's data)
Complete this Form ONCE for Each Single and Concurrent Litter Cleanup Activity.
We Will Review Your Form Submission and Award Documented Community Service Hours Based Upon The Carolina Waterman's Sole Discretion of the Contents of Your Submission. (Image Time Stamps, GPS Coordinates, Approximate Weight of Litter Collected, Quality Photos including: before & after images of cleanup sites, as well as images of the total amount of litter collected from EACH site and as a whole at the end of your cleanup activity. All of these elements will be utilized in determining the fair and appropriate amount of Documented Community Service Hours awarded for each form submission.)
Dispose of Collected Litter in the Appropriate Waste or Recycling Bins. (VOLUNTEER RESPONSIBILITY)
Be SAFE and Have FUN.

First Name *

Last Name *

Email Address *

Cell Phone *

Date of Litter Cleanup *

Litter Cleanup LocationWhere did you collect the litter? (Make Sure Your Phone GPS is ON & Recorded in Your Image Data)

Types of Litter CollectedDescribe the kinds of litter you collected.

Litter Cleanup Image Upload *

1. Turn Phone GPS "ON". 2. Take Before & After Pictures at Each Location (focus on the litter). 3. Upload All Photos Cataloging Your Litter Cleanup (At least 3 pictures from each location). 4. Community Service Hours Awarded Will Utilize Time Stamps from Submitted Photos (the weight of litter collected will also be considered when awarding documented hours).

WAIVER OF LIABILITY & RELEASE

This release and Waiver of Liability (the "RELEASE") is executed on this day by the participant (the “VOLUNTEER”), in favor of the Carolina Waterman, Inc., a nonprofit corporation organized and existing under the laws of the State of South Carolina, USA, and of their directors, officers, employees and agents (collectively, "CW”).

The VOLUNTEER desires to work as a volunteer for CW and engage in the activities related to being a volunteer in the CW's Community Service Program (the "CSP"). As the VOLUNTEER, I hereby freely and voluntarily, without duress, execute this RELEASE under the following terms:

1. WAIVER AND RELEASE. The VOLUNTEER release and forever discharges and hold harmless CW 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 the VOLUNTEER's participation in the CSP. The VOLUNTEER understands and acknowledges that this RELEASE discharges CW from any liability or claim that the VOLUNTEER may have against CW with respect to bodily injury, personal injury, illness, death, or property damage that may result from participation in the CSP. It is also understood that CW 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, illness, death or property damage.

2. INSURANCE. The VOLUNTEER understands that the VOLUNTEER expressively waive any such claim for compensation or liability on the part of CW.

3. MEDICAL TREATMENT. The VOLUNTEER hereby release and forever discharge CW from any claim whatsoever which arises, or may hereafter arise, on account of any first-aid treatment or other medical services rendered in connection with an emergency during the VOLUNTEER's participation in the CSP.

4. ASSUMPTION OF RISK. The VOLUNTEER understands that their time participating in the CSP may involve potentially dangerous activities that may be hazardous to the VOLUNTEER including, but not limited to, litter cleanup activities, loading and unloading of refuse materials, encounters with flora/fauna (plants/animals) and local transportation to and from CSP sites. As the VOLUNTEER, I hereby expressly assume the risk of injury or harm in these activities and release CW from all liability for injury, illness, death or property damage resulting from my participation in the CSP.

5. PHOTOGRAPHIC RELEASE. As the VOLUNTEER, I grant and convey unto CW all right, title, and interest in all photographic images, video and/or audio recordings made by the VOLUNTEER and submitted to CW during the VOLUNTEER’s participation in the CSP.

6. OTHER. As VOLUNTEER, I expressly agree that this RELEASE is intended to be as broad and inclusive as permitted by the laws of the State of South Carolina in the United States of America, and that this RELEASE shall be governed by, and interpreted in accordance with, the laws of the State of South Carolina. I agree 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.