Adopt A Street

2. Team Leader*
4. Organization, Club, Family or Business Affiliation*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Name to Appear on Sign
14. 1st Street Choice*
15. 2nd Street Choice
17. 3rd Street Choice
19. Phone Number*
20. Email Address*
22. Terms & Conditions

    Adopt-a-Street Program Terms & Adoption Agreement

    It is agreed by all parties that if the maintenance of the contracted area is not being performed according to the terms agreed upon, the Town has the ability to end the contract. When a team is behind in their cleanups, they will receive a 30-day notice to conduct a cleanup, return supplies and return form to remain in the program. Teams who receive a second late notice will have 10 days resume maintenance.

    Release Signatures (Hold Harmless)

    Must be agreed to and received by Prosper Public Works before each scheduled clean-up event. In consideration of the Town of Prosper's acceptance of my participation in the above project, I, for myself, participating in the project, any heirs, executors, administrators and assigns, forever releases and discharges any and all rights, demands, claims and causes of suit of action, known or unknown, whether arising now or in the future, that I may have against the Town of Prosper and any and all injuries, including death and property damage in any manner arising or resulting from my participation in said project. I attest and verify that I have full knowledge of the risks involved in the project, that I solely assume those risks, that I will, without limitation, assume and pay any medical and emergency expenses in the event of an accident, injury, illness or other incapacity, regardless of whether I have authorized such expenses. Furthermore, I state that I have carefully read this release, know the contents of the release and signed the release of my own free will.

24. Terms & Conditions*

    1. I agree to the Terms & Conditions.
25. Date*
    Date
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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