Land Stewards Program Registration

Keep Pennsylvania Beautiful reserves the right to revoke or refuse an adoption.
By typing your name below you are signing the application and verifying that the primary contact is at least 18 years of age. The primary contact agrees to:

1. Make safety a top priority and review the KPB safety guidelines and adoption video with all adoption cleanup participants.
2. Assure all cleanup volunteers sign a liability waiver and parental consent forms for participants under the age of 18. Please contact Stephanie Larson for these forms. Completed forms can be uploaded at the time of reporting.
3. Secure permission to enter if adoption is on private property.
4. Coordinate two cleanups per year.
5. Report your results within 2 weeks of each cleanup.
6. Provide written notice to Keep Pennsylvania Beautiful in the event that he or she wishes to terminate the adoption.
7. In consideration for the opportunity to engage in volunteer work through PA CleanWays d/b/a Keep Pennsylvania Beautiful (KPB), I agree for myself, my executors, administrators, heirs, successors and assigns to: (A) waive, release or discharge the following persons and entities from any and all liability for death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me: KPB, its parent and affiliates, their directors, officers, employees, volunteers, representatives, agents, event holders and landowners whose facilities are being used or whose property is being cleaned (collectively the ‘Released Parties’); and (B) indemnify and hold harmless the Released Parties from any and all liability, claims, actions, suits, procedures, costs, damages, fines, penalties and expenses, including but not limited to attorney’s fees, which arise in connection with my participation in the volunteer activities, without limit and whether caused by the acts or omissions of the Released Parties.