Thank you for your interest in the Adopt a Park or Trail program. Please complete the following questions. Once you have submitted your answers, someone will be in touch with you to discuss your adoption in more detail. 1. Group/Organization Name * 2. Our group is a * Family Church School Service Group Company Business Other 3. Most of us are * Youth Adults 4. Group Main Contact's Name * 5. Group Main Contact's Email * 6. Group Main Contact's Primary Phone Number * 7. Group Main Contact's Street Address * 8. City * 9. Group's Website (if applicable) 10. Park or trail you want to adopt * Bondurant Recreational Sports Complex (BRSC) Bondurant Soccer Complex Bondurant Regional Trailhead City Park Eagle Park/Eagle Park North Fishing Ponds Efnor Estates Park Gateway Park (Porch Swings and Fireflies) Lake Petocka Lincoln Estates Park Mallard Pointe Park Meadow Brook Park Park Side Park/Park Side Pond Renaud Ridge Park Wisteria Heights Park Wolf Creek Park/Wolf Creek West Pond Bluejay Landing Park Sankey Summit Park Chichaqua Valley Trail (east section) Chichaqua Valley Trail (west section) Lake Petocka Trail Gay Lea Wilson Trail Bondurant Community Library (west side of property) 11. First Cleanup Date Planned * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 12. Number of Volunteers in Group * As an Adopt a Park or Trail group, we promise to do the following: Adopt at least one section of trail or one park for a two-year period. Complete at least four cleanups per year. Abide by the Adopt A Park/Trail Guidelines. Ensure all volunteers in my group complete the Volunteer Information Form/ Release and Waiver of Liability prior to engaging in cleanup activities. Conduct myself in a professional manner so that my actions do not affect negatively on my group, other Adopt a Park/Trail groups, the Adopt a Park/Trail program or the City of Bondurant as a whole. Respect the property rights of private landowners and always ask permission before entering private land. Report my group’s cleanup results including photos and report of findings so that your efforts can be included with all other Adopt a Park/Trail member activities to show that we are making a difference. I agree to indemnify and hold harmless the Adopt a Park/Trail sponsors, officers, and agents from any and all liability for claims, demands, and actions from any and all volunteer activities in which I or my group may participate. 13. I agree, on behalf of my group, to the Adopt a Park or Trail program guidelines and statements listed above: * Yes, I agree Leave this field blank