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FIRSTRDR SAR/BOOTS ON THE GROUND
WE WORK WITH TEAMS WHO WANT TO WORK EXCLUSIVELY WITH FIRSTRDR **
AS WELL AS TEAMS WHO WANT TO RUN TICKETS FOR MULTIPLE ORGANIZATION

Upon completion of this form please add the following as a contact on zello:        Texas-Rescue    
and let him know who you are.  [or approve any contact request you get from him]

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TEAM NAME (IF THIS APPLIES)
VOLUNTEER NAME (FIRST AND LAST) *
ZELLO HANDLE *
Email *
CELL PHONE # *
Emergency Contact Name (optional)
Emergency Contact # (Optional)
I can help prior to the storm with evacuations
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I can help with SAR/BOG During the storm
I can help with Welfare Checks, rescues, relief after the storm
Area you can help in [please be specific city name, County, etc...] *
Do you have any of the following?
For references Please list Other SAR teams you have worked with or for?
LIABILITY WAIVER: In return for being allowed to participate in First Response Disaster Relief volunteer [FirstRDR] activities and all related activities, including any activities incidental to such participation ("Volunteer Activities") , the undersigned Volunteer (hereafter referred to using "I", "me" or "my") releases and agrees not to sue the First Response Disaster Relief organization or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates ("the Organization") from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the Volunteer Activities wherever, whenever, or however the same may occur. I understand and agree that the Organization is not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in the Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation. I also agree to indemnify and hold harmless the Organization for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue to full legal force and effect. I also acknowledge that the Organization has not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract which grants certain rights to and eliminates the liability of the Organization.
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DATE OF BIRTH
Date of Application
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