2nd Annual Plogging the Pomeroy Trail                   April 5, 2024
10:00-10:15 AM Registration and supply pick-up for Plogging Event:  Address: 461 Wyoming Road Newark, DE 19716 (required for all participants)
10:15-11:15 AM Plogging on Pomeroy Trail (1-3 miles)
11:30-12:00 PM   University of Delaware STEAM (Science, Technology, Engineering, Art, Math) Team Activity fun for youth and adults (optional)

This is a rain or shine event. Please dress accordingly.

Deadline for Registration is Monday, April 1st, 2024.
Sign in to Google to save your progress. Learn more
Email *
2023 4-H Ploggers
Name of Adult Participant (S) (Age 18 and over)
List Name and Ages of Youth Participants (17 and under)
Check all that you or your group are interested in participating.
For Youth 17 and Under

If members are under the age of 18, parental signature is required below.

As the parent or legal guardian of this 4-H member, I give my permission for them to participate in organized events and activities offered by the Delaware 4-H Youth Development Program. I understand and acknowledge that there are certain hazards and risks associated with my child's participation in 4-H educational activities. These risks may result in injury, death, or damage to property. I understand and accept such risks, and thus waive all claims, demands, and causes of action against the State of Delaware, the University of Delaware, the Delaware 4-H Foundation, New Castle/Kent/Sussex County 4-H and their members, officers, employees, agents, and
volunteers acting on their behalf. I understand that I am solely responsible for any costs arising out of any injury or property damage sustained through my child's participation in 4-H educational programs. After careful deliberation, I voluntarily give my consent to my child's participation and agree to the terms contained in this Acknowledgement of Responsibility and Release.
I verify that I have READ, UNDERSTOOD AND AGREED TO THIS HOLD HARMLESS
CLAUSE.
*
Plogging on the Pomeroy Trail
Adults will be required to sign a liability waiver and photo release the day of the event. 
Name and phone number of emergency contact *
2023 Highmark Ploggers
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Delaware. Report Abuse