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2. The City of Durham believes that well-maintained parks and trails areas are essential to the beauty and appeal of our community. The City of Durham Adopt-A-Park and Adopt-A-Trail (APAT) programs were established to improve the appearance of the City of Durham, and to encourage community involvement.
4. Adoption Coordinator Contact Information
6. Today's Date*
   Today's Date
8. First Name*
9. Last Name*
11. Street Address*
12. Apt/Unit # (if applicable)
14. City*
15. State*
16. Zip Code*
18. Work Phone*
19. Cell Phone*
20. Email Address*
22. Name of Organization*
23. Organization Website (if applicable)
27. The adopter will be responsible for maintaining the parks / trails by picking up litter, maintaining flower beds, painting, spreading playground mulch including safety surfacing and other manual labor. Note: Some of the options may currently be adopted. Please pick at least two options in case your fist choice is not available.
29. First Choice Park Location*
    -- Select One --Not ApplicableAmerican Village ParkBay-Hargrove ParkBelmont ParkBethesda ParkBirchwood ParkBurch Avenue ParkBurton ParkC.M. Herndon ParkC.R. Wood ParkCampus Hills ParkCarroll Street ParkCook Road ParkCornwallis Road ParkCrest Street ParkDowntown Durham Dog ParkDrew Granby ParkDuke ParkDuke Pet Safe Dog ParkDurham Central ParkEast Durham ParkEast End ParkEdgemont ParkElmira Avenue ParkForest Hills ParkGarrett Road ParkGlendale Heights ParkGrant Park (north)Grant Park (south)Hillside ParkHolly Grove AreaHolt School Road ParkIndian Trail ParkLakeview ParkLeigh Farm ParkLong Meadow ParkLyon ParkMaplewood ParkMorreene Road ParkNorthgate ParkOakwood ParkOld Chapel Hill Road ParkOld Farm Road ParkOld North Durham ParkOrchard ParkOval Drive ParkOverlook ParkPiney Wood ParkPiney Wood Dog ParkRed Maple ParkRiver Forest ParkRock Quarry ParkRock Quarry Dog ParkRockwood ParkRocky Creek ParkSandy Creek ParkShady Oaks ParkSherwood ParkSnow Hill Road ParkSolite ParkSouthern Boundaries ParkTrinity ParkTwin Lakes ParkUnity Village ParkValley Springs ParkWalltown ParkWeaver Street ParkWest Point on the EnoWestover ParkWhippoorwill ParkWhite Oak ParkWilkins Road ParkWrightwood Park
30. Second Choice Park Location*
    -- Select One --Not applicableAmerican Park VillageBay-Hargrove ParkBelmont ParkBethesda ParkBirchwood ParkBurch Avenue ParkBurton ParkC.M. Herndon ParkC.R. Wood ParkCampus Hills ParkCarroll Street ParkCook Road ParkCornwallis Road ParkCrest Street ParkDowntown Durham Dog ParkDrew Granby ParkDuke ParkDuke Pet Safe Dog ParkDurham Central ParkEast Durham ParkEast End ParkEdgemont ParkElmira Avenue ParkForest Hills ParkGarrett Road ParkGlendale Heights ParkGrant Park (north)Grant Park (south)Hillside ParkHolly Grove AreaHolt School Road ParkIndian Trail ParkLakeview ParkLeigh Farm ParkLong Meadow ParkLyon ParkMaplewood ParkMorreene Road ParkNorthgate ParkOakwood ParkOld Chapel Hill Road ParkOld Farm Road ParkOld North Durham ParkOrchard ParkOval Drive ParkOverlook ParkPiney Wood ParkPiney Wood Dog ParkRed Maple ParkRiver Forest ParkRock Quarry ParkRock Quarry Dog ParkRockwood ParkRocky Creek ParkSandy Creek ParkShady Oaks ParkSherwood ParkSnow Hill Road ParkSolite ParkSouthern Boundaries ParkTrinity ParkTwin Lakes ParkUnity Village ParkValley Springs ParkWalltown ParkWeaver Street ParkWest Point on the EnoWestover ParkWhippoorwill ParkWhite Oak ParkWilkins Road ParkWrightwood Park
32. First Choice Trail Location*
    -- Select One --Not ApplicableAmerican Tobacco Trail - Durham SectionDowntown TrailDuke Park TrailEllerbee Creek TrailPearsontown TrailR. Kelly Bryant Bridge TrailRiddle Road SpurRocky Creek TrailSandy Creek TrailSouth Ellerbee Creek TrailStadium Drive TrailThird Fork Creek TrailWarren Creek TrailWest Club Blvd TrailWest Ellerbee Creek Trail
33. Second Choice Trail Location*
    -- Select One --Not ApplicableAmerican Tobacco Trail - Durham SectionDowntown TrailDuke Park TrailEllerbee Creek TrailPearsontown TrailR. Kelly Bryant Bridge TrailRiddle Road SpurRocky Creek TrailSandy Creek TrailSouth Ellerbee Creek TrailStadium Drive TrailThird Fork Creek TrailWarren Creek TrailWest Club Blvd TrailWest Ellerbee Creek Trail
35. First Choice American Tobacco Trail Mile Marker Preferences*
    -- Select One --Mile Marker 0 - 2Mile Marker 2 - 4Mile Marker 4 - 5Mile Marker 5 - 6.25Mile Marker 6.25 - 7.75Mile Marker 7.75 - 8.25Mile Marker 8.25 - 10.25Mile Marker 10.25 - County Line
36. Second Choice American Tobacco Trail Mile Marker Preferences*
    -- Select One --Mile Marker 0 - 2Mile Marker 2 - 4Mile Marker 4 - 5Mile Marker 5 - 6.25Mile Marker 6.25 - 7.75Mile Marker 7.75 - 8.25Mile Marker 8.25 - 10.25Mile Marker 10.25 - County Line
40. Recycling Program*

    Interested in improving the recycling efforts in your Adopted Park? This is optional and is not required to be a part of the Adopt-A-Park program.
    
    Groups will be responsible for monitoring the containers so that they do not become contaminated with trash. (Note: The Department of Solid Waste will not empty containers that are contaminated with trash and DPR is not able to empty these cans.)
    
    Groups will be responsible for wheeling the container to the approved collection point weekly on the proper day so that it is regularly emptied. (Note: DPR will confirm the can location and collection day for pickup.)
    
    Groups will have a designated contact person, separate from the Adoption Coordinator, that will be responsible for ensuring the recycling can is being properly managed.
    
    If 'Yes' is checked, you will be prompted to provide contact information for the designated person responsible for managing the Recycling can.

    1. Yes
    2. No
42. First Name*
43. Last Name*
45. Phone Number*
46. Email Address*
50. By this agreement, the applicant agrees to abide by the Adopt-A-Park/Adopt-A-Trail Program Requirements and Adopt-A-Park/Adopt-A-Trail Safety Guidelines set forth by the City of Durham, and to enforce compliance with the program requirements and safety guidelines by volunteers working on APAT projects sponsored by its organization.
    
    Adoptions will be automatically renewed each year, unless applicants fail to complete and report the required number of cleanups or they request to be removed from the program. There will be a maximum of a two-year adoption if a waiting list exists for that park or trail. Failure to complete obligations as set forth by the program guidelines will prevent future adoptions by the adopting organization. The City of Durham and the Parks and Recreation Department reserves the right to cancel this agreement at any time.
    
    The terms of this agreement are to be followed for one calendar year from the date the adoption is approved. The minimum number of required projects during this time period is six (6).
52. Wavier*

    1. I hereby give my permission for my child/myself to participate and be involved in the City of Durham Parks and Recreation's volunteer Adopt-A-Park/Adopt-A-Trail Program.
    2. I/my child are acting only in a volunteer capacity for the City of Durham.
    3. While serving in this role, I agree that I/my child will follow the policies and procedures for the volunteer Adopt-A-Park/Adopt-A-Trail Program as communicated to me by the Durham Parks and Recreation Department.
    4. I understand that there are certain risks inherent in participation in all volunteer programs and activities and use of public recreational facilities which are beyond the control of the volunteer or the City of Durham.
    5. I understand and acknowledge the highly contagious nature of COVID-19 and voluntarily assume the risk that I/my child may be exposed to or infected by COVID-19 by participating in any way in any event, program, activity, or reservation taking place at a Durham Parks and Recreation facility or park, and that such exposure or infection may result in personal injury, illness, permanent disability, and death.
    6. I understand that the risk of becoming exposed to or infected by COVID19 at a Parks and Recreation facility or park may result from the actions, omissions, or negligence of myself and others, including, but not limited to, City employees, volunteers, and other participants and their families.
    7. The Durham Parks and Recreation department has created new protocols and put in place preventative measures to reduce the spread of COVID-19; however, the City cannot guarantee that you will not become infected with COVID-19. Further, attending any event, program, activity, or public park or recreation facility may increase your risk of contracting COVID-19, and may increase the risk of transmitting COVID-19 to others. Adopters and adopting organization’s agency agree to adhere to CDC guidelines and NC Department of Health and Human Services guidelines for safety measures regarding COVID-19.
    8. By submitting this application, adopters and adopters’ organizing agency agree to release and hold harmless the City of Durham, its agents, employees, officers and contractors from and against all liabilities, claims, demands, judgments, cost or fees, including liabilities, claims, demands, judgments, costs related to COVID-19, arising in any manner from and any participation in the program named above.
    9. Personnel of the City of Durham may at their discretion shut down an adopter’s event, effective immediately, if the activity is in violation of rules, regulations, laws or ordinances; or poses a significant threat of harm or damage to the facility or any individuals; or that fails to establish responsible supervision for any activity. The adopter will be responsible for all actions of persons attending their clean-up events and workdays.
    10. I understand that DPR reserves the right to deny or discontinue the services of any volunteer at any time.
    

    1. By checking this box, adopters and adopters’ organizing agency have read, understand and agree to abide by the rules, guidelines and information detailed above.
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54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

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