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Adopt-a-Roadway Release Form

  1. I / We understand that participation in the Adopt-a-Roadway Program litter pickup involves standing and walking near a Township roadway and that there are certain risks involved with such participation. I/We hereby release the Township of Cranberry from any liability associated with the risks involved with participation in the Adopt-a-Roadway Program. I/We have also reviewed the Adopt-a-Roadway safety materials as a prerequisite to participation in the Adopt-a-Roadway Program.

  2. I / We understand that participation in the Adopt-a-Roadway Program litter pickup involves standing and walking near a Township roadway and that there are certain risks involved with such participation. I/We hereby release the Township of Cranberry from any liability associated with the risks involved with participation in the Adopt-a-Roadway Program. I/We have also reviewed the Adopt-a-Roadway safety materials as a prerequisite to participation in the Adopt-a-Roadway Program.
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  3. I / We recognize the electronic signature(s) above as an authorized signature of the release form.*


  4. *If signatory is less than 18 years of age, this must also be signed by a parent or guardian

  5. I / We recognize the electronic signature(s) above as an authorized signature of the release form.*

  6. Leave This Blank:

  7. This field is not part of the form submission.