Sharon Land Trust Volunteer Form
We need some information before you join us in a Sharon Land Trust activity. This information is private and will not be shared with anyone outside of Sharon Land Trust. This information will be stored securely using bank security standards. Thanks in advance for your understanding and cooperation.
Email address *
First Name *
Your answer
Last Name *
Your answer
Nickname
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Home Telephone *
Your answer
Work Telephone
Your answer
May we contact you at your work? *
What type of volunteering would you be interested in? *
We have a bunch of activities we do every year. They are all fun and rewarding. We need people to build and maintain trails. We have a never ending but satisfying battle we wage with invasives. Every year we need new land monitors to make sure our lands are protected properly. We hope to have volunteers who love certain trails take a more active role in maintaining them through our adopt-a-trail program. And finally we need volunteers who love walking in the woods to share their joy with the community by leading hiking groups on our lands.
Required
Age *
Children under the age of 16 must be accompanied by a parent or guardian, with the exception of age specific programs and events
Parental Release and Medical Consent
As a parent, I am aware that my child will be participating in a Sharon Land Trust activity. I am aware of the circumstances my child will undergo, and I hereby give my full permission for him/her to participate. Also, in the event any medical attention is needed, I hereby authorize any leaders to seek medical treatment, and medical personal in charge of my child to administer such medical treatment as may be deemed necessary or advisable in the treatment of my child.
Name
Your answer
Relationship
Your answer
Emergency Contact Information
Please provide the contact details of someone you want us to contact in the event of an accident.
Emergency Name *
Your answer
Emergency Telephone *
Your answer
Emergency Email *
Your answer
May we publish photos and videos of you or your child? *
By choosing yes, you grant to Sharon Land Trust, its representatives and employees the right to take photographs of you or your child, and to use and publish the same in print and/or electronically. You agree that Sharon Land Trust may use such media of you or your child for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content.
Pertinent Medical History
For your safety and that of any group you will participate with, we need to collect some basic medical information. This information will be kept private and secure and will not be shared with anyone outside of Sharon Land Trust.
Do you have any medical issues we may need to know, like epilepsy, heart or lung disease, asthma, diabetes, or significant back, foot, hip, or leg problems? *
If yes, please describe:
Your answer
Do you take any medications we may need to know about, like for heart conditions, diabetes, allergies? *
If yes, which ones and for what condition?
Your answer
Do you have any allergies or allergic reactions to drugs? *
If yes, which ones, and what is the effect?
Your answer
Is there anything else we should know about your health or ability to participate in the activity?
Your answer
Agreement *
I confirm my understanding that: I have read any rules and conditions applicable to the activity made available to me and I acknowledge my participation is at the discretion of the leader. If I decide to leave early and not to complete the activity as planned, I assume all risks inherent in my decision to leave and waive all liability against Sharon Land Trust arising from that decision. Likewise, if the leader has concluded the activity and I decide to go forward without the leader, I assume all risks inherent in my decision to go forward and waive all liability against Sharon Land Trust arising from that decision. This Agreement is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Agreement is held to be invalid or legally unenforceable for any reason, the remainder of this Agreement shall not be affected thereby and shall remain valid and fully enforceable. To the fullest extent allowed by law, I agree to WAIVE, DISCHARGE CLAIMS, AND RELEASE FROM LIABILITY the Sharon Land Trust, its officers, directors, employees, agents, and leaders from any and all liability on account of, or in any way resulting from Injuries and Damages, even if caused by negligence of the Sharon Land Trust, its officers, directors, employees, agents, and leaders, in any way connected with this activity. I further agree to HOLD HARMLESS the Sharon Land Trust, its officers, directors, employees, agents, and leaders from any claims, damages, injuries or losses caused by my own negligence while a participant on the activity. I understand and intend that this assumption of risk and release is binding upon my heirs, executors, administrators and assigns, and includes any minors accompanying me on the activity. I have read this document in its entirety and I freely and voluntarily assume all risks of such Injuries and Damages and notwithstanding such risks, I agree to participate in the activity. By selecting the 'I Agree' checkbox below, you are signing this form electronically. You agree that this electronic signature is the legal equivalent of your manual signature on this form, and you consent to be legally bound by this forms agreements and consents as if actually signed by you in writing. Furthermore, you agree that the information given in this form is true, complete and accurate. Must be checked by person over 18 years old, by applicant or his / her parent or legal guardian
Required
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