| EXHIBIT A (PAGE 1) KEEP CHARLOTTE BEAUTIFUL ADOPT-A-ROAD PROGRAM RELEASE FORM I or we ______________________________,a member of ___________________________, have read and understand the terms and conditions contained in the Keep Charlotte Beautiful, Inc. Adopt-A-Road Agreement and the Roadside Safety Recommendations prior to taking part in litter removal in the County rights-of-way, and I hereby agree to follow and conduct myself according to all the terms and conditions of the Keep Charlotte Beautiful, Inc. Adopt-A-Road Agreement and the Roadside Safety Recommendations. I do hereby release and discharge Keep Charlotte Beautiful, Inc. and the County, and all of Keep Charlotte Beautiful’s officers, agents, and employees from all liabilities, claims, demands, and causes of action of every kind whatsoever for any damages and or injuries arising from any cause whatsoever which may result directly or indirectly from my participation in the Keep Charlotte Beautiful, Inc. Adopt-A-Road program. I further agree to hold harmless Keep Charlotte Beautiful, Inc. and its officers, agents, and employees from liability for any damages or injuries resulting from any acts or failure to act on my part during my participation in any Adopt-A-Road activities on or near Charlotte County rights-of-way. |
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