Louisa Clean Release of Liability
Read Carefully – This affects your legal rights
In exchange for participation in the activity of picking up litter along Louisa County roads, I _____________________________________ agree to the following:
- I certify that I have received safety training from a Louisa Clean organizer and viewed the VDOT safety video within the past twelve months. https://www.vdot.virginia.gov/about/programs/aah/
- I certify that I am over the age of eighteen years.
- I agree to observe and obey all oral instructions or directions given by the organizers including but not limited to work on the roadway against traffic, and stepping completely off of the road when traffic is present.
- I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself.
- I agree to indemnify and hold harmless Louisa Clean, its directors and agents against all claims, losses, causes of action, liabilities, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from the activity described above.
I have read this document and understand it. I further understand that by signing this release, I voluntarily surrender certain legal rights.