Become A Volunteer

Complete the form below to sign up to volunteer for Keep Loudoun Beautiful. Please be sure to check your spam folder if you do not receive an email within 2 days of request. The email will come from alicia@keeploudounbeautiful.org

Thank you

Sign up to become a KLB Volunteer

Volunteer Signup

Name *

Email Address *

Phone Number *

Address *

Address

Street Number, Street Name

Apartment/Suite Number

City

State/Province

Zip/Postal

Country

Age *

We have opportunities for all ages

Preferred Contact Method *

Emergency Contact Name

First and Last Name

Emergency Contact Number

Phone Number

Let us know what you are specifically interested in (Your own cleanup? Group clean up? etc.)

Section

Waiver

Release of Liability and Participation at Your Own Risk Agreement
Keep Loudoun Beautiful, PO Box 5, Leesburg, VA 20178  Phone: 703.771.4231
In consideration of receiving permission from Keep Loudoun Beautiful (hereinafter KLB) to participate in all events in furtherance of its educational and public service purpose, I/WE HEREBY EXPRESSLY AGREE:
1. To assume all risk and responsibility for any injuries I may sustain and any damages I may cause to KLB, or any other person or property in connection with its events.
2. To release and hold harmless KLB from all claims of liability for any injuries I may sustain or damages that may be caused to me or my property in connection with my participation in KLB events.
3. I will not sue or bring legal action against KLB, its directors, officers, employees, instructors, sponsors, and owners or lessors of any property or transportation used in connection with any KLB event.
4. The undersigned participant is in adequate physical condition to participate in the KLB events. I authorize KLB to use photographs, videos, or any other record of the events that may depict me, at their discretion, without compensation paid to me.
I fully understand some events, including, but not limited to, river and stream cleanups using watercraft and roadside cleanups, may be hazardous. I acknowledge and fully understand these events may involve risk of serious injuries, including permanent disability, death, or severe social and economic losses that might not only result from my action, interaction, or negligence, but the action, inaction, or negligence of others, or conditions that may be encountered, or equipment, transportation, or refuse containers used or rented. Further, there may be other risks not known or foreseeable at this time.
I am at least eight (8) years of age with undersigned guardian permission, or I am at least eighteen (18) years of age and have the legal capacity to enter into this waiver and release. This waiver and release shall be valid for all prior and future activities of KLB.

I agree *

I HAVE READ THE ABOVE WAIVER AND RELEASE. I FULLY UNDERSTAND IT AND ENTER INTO IT FREELY AND VOLUNTARILY.

If you are human, leave this field blank.

Sign up to become a KLB Volunteer

Section

September 2021

Board Monthly Meeting