Clean Jordan Lake Adoption site agreement form

Clean Jordan Lake (CJL) provides trash bags, trash grabbers and gloves

Requirements for Participation

Conduct three cleanups per year if AASP participation, preferably in early Spring, mid-Summer and early Fall (school groups can choose a schedule to fit the academic year) OR two cleanups per year if AAFSP participation, preferably in early Spring and early Fall.
Agree to a 3-year commitment
Allot about two hours to remove litter from the adopted section
Notify CJL in advance of the date of each cleanup
Provide your volunteers with information about safety: closed toe shoes and gloves are REQUIRED and long pants, long sleeve shirt and hat (to avoid cuts, ticks, chiggers and poison ivy) are strongly recommended
Notify CJL when and where trash bags are left for pick up after each event if not bringing to Trash Collection Center
Report to CJL the hours spent, number of trash bags collected, number of volunteers and any interesting items of trash after each event

Disposal of trash bags

If your site is within Chatham County, bring to nearest Chatham County Solid Waste & Recycling Collection Center. No need to be a resident of Chatham County. For other Counties, please check for available Collection Centers.

Locations: Martha’s Chapel (24 Gardner Rd, Apex, NC) , 3 miles from Farrington Rd.; Old U.S. 1 2855 Old US 1 Hwy, Moncure, NC 27559),3 miles from the intersection of Jordan Dam Rd. with Moncure-Pittsboro Rd.; and behind Cole Park Plaza off 15-501 11632 US Hwy 15 501 N, Chapel Hill, NC 27517), 2 miles north of Lystra Rd.

Procedure in Chatham County: Upon entering the Collection Center, ask booth attendant for a Yellow Permission Slip (usually on left side of desktop) and fill out. Separation recyclables and without being resident of Chatham County.

Special Requests: Your group can choose to separate recyclables. Aluminum cans can be brought to the North Chatham Fire Dept. on Morris Rd. (proceeds go to purchase of car seats for needy families). CJL will pick up bags in special cases when not convenient for your group to bring to Chatham County Collection Center or when the number of bags is too large to transport easily.

storage unit for supplies

Land Hunter Storage
162 Beaver Creek Rd. Apex, NC 27502

Tel. 919-906-1489

Gate Code: REQUEST BY EMAIL TO: INFO@CLEANJORDANLAKE.ORG

Unit 106 (enter middle door on back side of inner square). Slide the lock holder to the left to lift the door.

PLEASE COMPLETE THE INFORMATION BELOW TO SUBMIT ONLINE

Date of Submission

MM

DD

YYYY

Name of Group for Adoption Nameplate

Please Enter Your Name

In signing this Agreement, I acknowledge that if anyone in my Adoption Group is hurt or property is damaged during participation as a volunteer I may be found by a court of law to have waived my right to maintain a lawsuit against the CJL on the basis of any claim from which I have released them herein. I have had sufficient opportunity to read this entire document. I read and understand it, and I agree to be bound by its terms. Enter your name below to indicate consent.

First Name

Last Name

PHOTO RELEASE

I hereby consent to and authorize the CJL, its publishers, licensees and assignees, permission to use and reproduce still photographs and/or film footage taken of me (and/or photos taken of my child/children) in whole or in part, with or without names, for editorial, trade or advertising purposes. I also confirm that I waive all claims arising from such use for any additional compensation, damages, and invasion of privacy. Enter your initials below to indicate consent.

Your Email Address

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone Number (preferably cell)

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If you would prefer to download, print and sign a copy of this waiver, please click here .