Harvest Share Volunteer Registration Form

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Section 1 of 4

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Name:

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email address

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Phone Primary

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Best way to keep you informed

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Phone

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In which Area do you live?

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Do you have a reliable vehicle?

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Yes

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What time of day are you available for picking?

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AM 9 - 1

PM 4 - 8

either

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Days available?

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Monday

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How did you find out about our Harvest share program? ( check all that apply)

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A Friend

Facebook

Posters

Farmers Market

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Have you volunteered with a Harvest program before? If so where? and when?

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Section 2 of 4

Signature:

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Signature of Parent: (if under 18 yrs of age)

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Section 3 of 4

THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS.        READ CAREFULLY

Every Person Must Read and Understand this Waiver before Signing.

There are inherent risks and hazards involved in gardening and harvesting fruit, vegetables and nuts.  I agree to assume all such risks and hazards and to bear all costs of medical attention. The following is a NON-EXCLUSIVE list of possible risks that could occur while volunteering for the Salmo Harvest Share Program.

-Falling from a tree or ladder 			        -Allergic reaction to insect bite or food allergy
-Being struck by falling fruit or branches		-Eye or other injuries related to being poked by a branch or tool			-Damage to another persons’ property

I hereby remiss, release and forever discharge Salmo Community Resource Society, including its employees, Board Members, property owners and all other participants from any manner of actions, causes of actions, claims and demands of whatsoever nature which I may have in respect to any injury loss or expense I may sustain arising out of or in anyway connected with my participants as a volunteer with Salmo Community Resource Society.

I acknowledge I have read the above agreement and understand, appreciate and accept then risks with the above noted activity and all relative activities.

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Signature of Parent: (if under 18 yrs of age)

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After section 3

Section 4 of 4

Without the love and support from our Sponsors these programs would not be available so thank you to all our sponsors. If you would like to become a sponsor please contact our office 250-357-2277

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