Event Registration
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Event Information
Event Date: October 3, 2020
Event Time: 9:00 am - 12:00 pm
Location: Drive through pick up of clean up materials at Main Packery Flats Parking Lot (map available on website and Facebook Event). Clean Up locations and instructions for collected trash provided at material pickup.
Contact us at (361) 336-0311 or ktunnell@cbbep.org

*Completion of this survey is required to participate in the Packery Flats Clean Up. The answers to all the questions in this survey will apply to all individuals listed below.  
Were you registered for the Packery Flats Cleanup that was cancelled?
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Are you registering a small group or family? *
If registering a group, how many people are in your group (*groups must be family groups or no larger than 6)?
Name / Names of all Individuals in your group *
Please list the requested Shirt Sizes for all registrants below.  Shirts are Unisex adult sizes XS-XXL.
Contact Email *
Organization
Will you and all participating family / group members take your temperature(s) prior to the event and only participate if your and their temperatures are less than 100.4 F? *
Do you understand that you / your family / group members are not to participate in the event if you/they are sick or if any of the following symptoms are exhibited: fever, cough, shortness of breath/difficulty breathing, sore throat, chills, unexpected muscle pain, unexpected fatigue, headache, congestion or runny nose, nausea/vomiting, diarrhea, or new lost of taste or smell in the last 14 days? *
Are you and your family committed to social distancing and proper hygiene, maintaining greater than 6 feet from non-family members, avoiding physical contact (i.e handshakes), washing/sanitizing hands appropriately, etc? *
The Volunteer understands that he/she is engaging in activities that may expose him/her to dangers both from known risks and unanticipated risks.  By signing this form (via digital completion of this survey), the Volunteer discharges and holds harmless Coastal Bend Bays & Estuaries Program, Inc., and its representatives from any and all liability, claims, losses, suits, damages, and demands of whatever kind or nature arising or resulting from property damage, bodily or personal injury and/or death that may be caused by Coastal Bend Bays & Estuaries Program’s negligence or otherwise. By signing this digital survey, the Volunteer also understands that Coastal Bend Bays & Estuaries Program, Inc., its partners, and affiliates may use all photographic images, video or audio recordings, video or audio reproductions, films, radio or television broadcasts and any other reproductions of the activities without limitations. Permission is granted for use in any medium now known or hereafter developed, including printed media, video, still photography and the Internet. *
Thank you for completing the survey and we look forward to seeing you at the 3rd Annual Packery Flats Clean Up!
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