Request edit access
Casa Belvedere, The Italian Cultural Foundation 

Volunteer Application Form 

Thank you for your interest in volunteering for the Italian Cultural Foundation at Casa Belvedere! This is a not-for-profit organization that celebrates everything Italian via a myriad of exceptional public program offerings: language and cooking classes; art and photo exhibits; film and fig festivals; opera luncheons and casino nights; Italian car shows and fashion shows; live concerts and theatrical performances; guest chef experiences and wine tastings; Bocce to bingo (tombola) … it all happens at Casa Belvedere!  

Also, integral to our mission is restoring the foundation-owned building. Built by the Roebling-Stirn family in 1908, this Italianate-style, neo-Renaissance building is one of the few remaining of its kind in New York City. This multi-million-dollar rehabilitation project began in 2010 and is ongoing. Casa Belvedere (house with a beautiful view) has established itself as a vibrant and buzzing community cultural center and an anchor in the community. 

Volunteer Details: The Foundation seeks adults and teens who can volunteer to help at its events, including cooking and fitness classes, cultural programs, bocce games, movie and music nights, and especially our annual Italian Festival in the fall! Volunteers are needed for a variety of tasks, such as assembling and selling refreshments, checking in guests, setting up for classes and events, etc.  

The foundation works with high school students who need to fulfill community service hours. Students will receive a Casa Belvedere T-shirt. 

Adults who volunteer 20 or more hours each year will receive a one-year Renaissance membership valued at $250. 

If you have questions, please call Audrey Urcia at 718-273-7660. 



Name *
Address *
Email *
Cell Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Birth Date
MM
/
DD
/
YYYY
Students: Are you seeking school service hours?
Clear selection
T-shirt Size
Clear selection
Please indicate what days and times you are available to help. Select at least one.
Morning programs (fitness programs, Nonno’s Garden, etc.): 9 am to 12 noon 
Afternoon school programs (cultural and cooking programs, etc.): noon to 6 pm 
Clear selection
Evening programs (concerts, movie nights, adult cooking classes, etc.): 5 pm to 10 pm 
Clear selection
Italian Festival and Car Show – weekend event in the fall 
Clear selection

Task Preferences (highlight at least one) 

Clear selection

WAIVER AND RELEASE OF LIABILITY: Please read and sign below.  

IN CONSIDERATION OF the risk of injury that exists while participating in events and programs at Casa Belvedere, the Italian Cultural Foundation (hereinafter the "Activity"); and IN CONSIDERATION OF my desire to participate in said Activity and being given the right to participate in same; 

I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, "Releasor," "I" or "me", which terms shall also include Releasor's parents or guardian if Releasor is under 18 years of age), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activity; and 

I HEREBY release and forever discharge Casa Belvedere, the Italian Cultural Foundation, located at 79 Howard Ave., Staten Island, NY 10301, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns (collectively "Releasees"), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity. 

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY. 

I FURTHER AGREE to indemnify, defend and hold harmless the Releasees against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs. 

I FURTHER ACKNOWLEDGE that Releasees are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of Releasees. In the event that I should require medical care or treatment, I authorize to provide all emergency medical care deemed necessary, including but not limited to, first aid, CPR, the use of AEDs, emergency medical transport, and sharing of medical information with medical personnel. I further agree to assume all costs involved and agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. 

I FURTHER ACKNOWLEDGE that this Activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. I agree not to participate in the Activity unless I am medically able and properly trained, and I agree to abide by the decision of the official or agent, regarding my approval to participate in the Activity. 

I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST FOR PERSONAL INJURY OR PROPERTY DAMAGE. 

To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence on the part of Casa Belvedere, the Italian Cultural Foundation, its agents, and employees. 

I agree that this Release shall be governed for all purposes by law, without regard to any conflict of law principles. This Release supersedes any and all previous oral or written promises or other agreements. 

In the event that any damage to equipment or facilities occurs as a result of my or my family's or my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any such actions of neglect or recklessness. 

THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION. 

*
Required
Name: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy