Adopt Your Beach Application Ocean City MD

Thank you for your submission.

First Name

Please provide your first name.

Last Name

Please provide your last name.

Street Address

City

State / Province

Zip code

Country

Phone Number

Email Address

Please sign me up for the Ocean City Surf Club and OCSC Online Store newsletters (about once a month)

Sign Me Up!

I Agree to receive emails from OCSC about Adopt Your Beach

I Agree!

Organization / Head Volunteer Name

*Volunteer/organization is/are aware of the potential dangers associated with this effort, and agree to follow the Ocean City Public Works safety guidelines, which are as follows: 1) do not go near potentially dangerous objects i.e. large drums; 2) be car.

I Agree

This field is required.

*Volunteer/Organization has/have agreed to hold harmless The town of Ocean City, MD, Ocean City Surf Club, the State of Maryland or other sponsors for any injuries they may suffer or damages they may cause as a result of participation in the program, as i.

I Agree

This field is required.

What Street would you like to Adopt?

*Volunteer/Organization accept the responsibility of picking up litter along its section of beach at least four (4) times per year between April 1st and November 30th of the current calendar year.

I Accept Responsibility

This field is required.

*I understand that this application and supporting materials become the property of the Ocean City Surf Club (OCSC) upon submission, and that OCSC shall have sole discretion in using any pictures for the purpose of publicizing Adopt Your Beach.

I Understand

This field is required.

Signature

Please correct your Signature.

How did you hear about this program?

Additional Group Contacts

Comments

Waiver

Waiver of Liability and Hold Harmless Agreement

I hereby release, waive, discharge and covenant not to sue Ocean City Surf Club and all sponsors and its officers, servants, agents and employees (hereinafter from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the releasees, or otherwise, while participating in the Activity, or while in, on or upon the premises where the Activity is being conducted, while in transit to or from the premises, or in any place or places connected with the Activity.
I am fully aware of risks and hazards connected with being on the premises and participating in the Activity, and I am fully aware that there may be risks and hazards unknown to me connected with being on the premises and participating in the Activity, and I hereby elect to voluntarily participate in the Activity, to enter upon the above named premises and engage in activities knowing that conditions may be hazardous, or may become hazardous or dangerous to me and my property. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of my being a participant in the Activity, whether caused by the negligence of releasees or otherwise.
I further hereby agree to indemnify and save and hold harmless the releasees and each of them, from any loss, liability, damage or costs they may incur due to my participation in the Activity, whether caused by the negligence of any or all of the releasees, or otherwise.
It is my express intent that this Release shall bind the members of my family and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above named releasees.

I Acknowledge and Represent that:

I have read the foregoing release, understand it, and sign it voluntarily as my own free act and deed.
No oral representation, statements or inducements, apart from the foregoing written agreement, have been made.
I am at least eighteen (18) years of age and fully competent. If not 18, parental signature will be provided; and
I execute this Release for full, adequate and complete consideration fully intending to be bound by same.

Photo Waiver

I give Ocean City Surf Club the irrevocable right to use my picture, portrait or photograph in all forms, media and manners, without restriction as to changes or alterations, for advertising, trade, promotion, exhibition, or any other lawful purposes.
I waive any right to inspect or approve the photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the photographs.

Acknowledgment

I acknowledge the above statements

Please confirm your acknowledgment.