School Registration Form - 2014

To be flled out by Site Supervisor (group leader

!lease ta"e pictures pre and post event#
!R$ $%$&T '&F(R)*T'(&
1. The site supervisor's name is: _______________________________________________
Email: ________________________________________________________________
Phone number(s) Cell: ______________________ Other: _____________________
2. School our !roup is representin!: ______________________
". Pro#ecte$ % o& participants: _________ '$ults _______________ Chil$ren
')!(RT*&T+ *s your group ,ill consist o- volunteer participants under 1.
years o- age/ parent0guardian consent must be granted -or each
child1
(. )our $esire$ clean up location is: ______________________
*. The re&use +ill be locate$ &or pic, up at: ______________________
-. .h have ou chosen to participate in Clean /p 0arba$os 211(2
1. Team 0uil$in! -. 3o somethin! !oo$
2. Communit participation 4. )ou +ere tol$ to
". Participate in 3ata Collection 5. .ant to have &un
(. )ou have an interest in the
environment
9. Other: please speci& belo+
*. )ou have a$opte$ our area __________________________
Please note:
Site Supervisors, will be responsible for their group
All Group members, parents/guardians must sign acceptance of the Clean Up Barbados
Conditions on the School Group Sign On Sheet for 2014 / consent form (These will be sent
upon submission of this registration form)
o liabilit! will be accepted b! "uture Centre #rust or b! Clean Up #he $orld Pt! %td for:
o An! sustained in&uries b! an! participant
o An! loss or damage to propert! owned b!, or in the possession of the participant
o An! acts or omissions, negligence or fault of an! person participating in the
activit!'
Provision of "irst Aid (it is suggested and the responsibilit! of the Site Supervisor
)efreshments are the responsibilit! of the Site Supervisor, unless otherwise advised b!
"uture Centre #rust'
*+uipment and inputs received from the "C# ,as available-: Gloves and Bags, some tools as
available
.ue care must be ta(en with an! tools issued for the event' /t is the Site Supervisors
responsibilit! to return an! e+uipment bac( to #he "uture Centre #rust in reasonable
condition at the post event meeting or within one wee( of the event' An! loss or damage will
be the responsibilit! of the borrower'
Signed: .ate:
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-uturecentretrust9gmail1com
Though this years focus is on inland areas which may
have litter or an illegal dumpsite. Teams with children are
encouraged to register for beach locations.