Thank you for committing to pick up litter in Lewiston - what a great way to beautify the City of Lewiston! Lewiston Public Works will provide latex and/or vinyl gloves, trash pickers, 5-gallon buckets, and trash liners.
I agree to follow the COVID19 guidelines set forth for this litter pickup activity. Should I be diagnosed with COVID19 within 14 days of this activity, I will immediately notify the City of Lewiston by phone: (207) 513-3000, X3450 or by email: email@example.com, as well as notify my group point of contact if I participated as part of a group.
As a City of Lewiston volunteer, I hereby give full right and permission to the City of Lewiston only to take, record, use, and publish any photo, video of or including my participation without restriction and use my likeness and voice in any photography, video, or film, to include others granted permission by the City of Lewiston to use my likeness in any photography, video, or film and release. I understand that I will not be compensated for any described usage above and my likeness may be used with or without my name stated.
PLEASE NOTE: Parent or Guardian Must Use His/Her Name if Participant is Under 18.
This field is not part of the form submission.
* indicates a required field