NATIONAL CLEAN UP DAY 2022

ATTENDANCE SHEET
September 17, 2022
Clean Up Site: _________________________________________________________________________
Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

1 ___ P ___ SP

2 ___ P ___ SP

3 ___ P ___ SP

4 ___ P ___ SP

5 ___ P ___ SP

6 ___ P ___ SP

7 ___ P ___ SP

8 ___ P ___ SP

9 ___ P ___ SP

10 ___ P ___ SP

11 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

12 ___ P ___ SP

13 ___ P ___ SP

14 ___ P ___ SP

15 ___ P ___ SP

16 ___ P ___ SP

17 ___ P ___ SP

18 ___ P ___ SP

19 ___ P ___ SP

20 ___ P ___ SP

21 ___ P ___ SP

22 ___ P ___ SP

23 ___ P ___ SP

24 ___ P ___ SP

25 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

26 ___ P ___ SP

27 ___ P ___ SP

28 ___ P ___ SP

29 ___ P ___ SP

30 ___ P ___ SP

31 ___ P ___ SP

32 ___ P ___ SP

33 ___ P ___ SP

34 ___ P ___ SP

35 ___ P ___ SP

36 ___ P ___ SP

37 ___ P ___ SP

38 ___ P ___ SP

39 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

40 ___ P ___ SP

41 ___ P ___ SP

42 ___ P ___ SP

43 ___ P ___ SP

44 ___ P ___ SP

45 ___ P ___ SP

46 ___ P ___ SP

47 ___ P ___ SP

48 ___ P ___ SP

49 ___ P ___ SP

50 ___ P ___ SP

51 ___ P ___ SP

52 ___ P ___ SP

53 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

54 ___ P ___ SP

55 ___ P ___ SP

56 ___ P ___ SP

57 ___ P ___ SP

58 ___ P ___ SP

59 ___ P ___ SP

60 ___ P ___ SP

61 ___ P ___ SP

62 ___ P ___ SP

63 ___ P ___ SP

64 ___ P ___ SP

65 ___ P ___ SP

66 ___ P ___ SP

67 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

68 ___ P ___ SP

69 ___ P ___ SP

70 ___ P ___ SP

71 ___ P ___ SP

72 ___ P ___ SP

73 ___ P ___ SP

74 ___ P ___ SP

75 ___ P ___ SP

76 ___ P ___ SP

77 ___ P ___ SP

78 ___ P ___ SP

79 ___ P ___ SP

80 ___ P ___ SP

81 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

82 ___ P ___ SP

83 ___ P ___ SP

84 ___ P ___ SP

85 ___ P ___ SP

86 ___ P ___ SP

87 ___ P ___ SP

88 ___ P ___ SP

89 ___ P ___ SP

90 ___ P ___ SP

91 ___ P ___ SP

92 ___ P ___ SP

93 ___ P ___ SP

94 ___ P ___ SP

95 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.
 Items received:
(check whichever
# FULL NAME AGE CONTACT NUMBER ORGANIZATION / AFFILIATION SIGNATURE
applies)

P-Pin; SP-SanitaryPad

96 ___ P ___ SP

97 ___ P ___ SP

98 ___ P ___ SP

99 ___ P ___ SP

100 ___ P ___ SP

**NOTE: The above list of names hereby voluntarily give permission to record their image, likeness and voice by audio-visual means (including taking photographs and making sound and video
recordings) (the “Images”) in connection with the event of the National Cleanup Coalition. They also give permission to the Proponents to use those Images, either internally or externally, in
Proponents’ materials, presentations and publications about the above subject matter, including, but not limited to, corporate brochures, annual reports, the website, and social media platforms.
Provided, however, this release does not authorize the Proponents to use the Images in connection with any product advertisement. There is no time limit on the validity of this Release nor is
there any geographic limitation on where these materials may be distributed. Revoking of consent for future use of the Images can be requested at any time, and revocation does not cover the
withdrawal of material already in use. This Release applies only to Images collected at the time and location listed above. The above names waive any right to compensation for the use of their
Images in the manner described above, and have completely read, understood, accepted the terms of this Release.