Love Your Block Volunteer Interest Form
Thank you for your interest in volunteering for Love Your Block MKE! With the help of grant applicants and volunteers like you we can create positive community spaces for all to enjoy!
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What is your First Name? *
What is your Last Name? *
Phone Number *
What is the best way to reach you? *
Required
How did you hear about Love Your Block MKE? *
Required
What Milwaukee Neighborhood are you from? *
Which Neighborhood projects would you like to be notified about? *
Required
What are some skills that you have to offer to the community? *
Required
Do you have any physical limitations that we should be aware of?
Why are you interested in volunteering for Love Your Block?
Volunteer Waiver
                                                           
1.  I, the Volunteer, release and forever discharge and hold harmless Love Your Block MKE/NIDC and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Love Your Block MKE/NIDC. I understand and acknowledge that this Release discharges Love Your Block MKE/NIDC from any liability or claim that I may have against Love Your Block MKE/NIDC with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Love Your Block MKE/NIDC or occurring while I am providing volunteer services.                                                              

2. Insurance: Further I understand that Love Your Block/NIDC does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of Love Your Block MKE/NIDC beyond what may be offered freely by Love Your Block MKE/NIDC in the event of injury or medical expenses incurred by me.                                  

3. Medical Treatment: I hereby Release and forever discharge Love Your Block MKE/NIDC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Love Your Block MKE/NIDC.                                                      

4. Assumption of Risk: I understand that the services I provide to Love Your Block MKE/NIDC may include activities that may be hazardous to me including but not limited to involving inherently dangerous activities. As a volunteer, I hereby expressly assume risk of injury or harm from these activities and Release Love Your Block MKE/NIDC from all liability.    
I have read and agree with the above statement *
Required
VIDEO/PHOTOGRAPH RELEASE FORM CAO 256435
I grant the City of Milwaukee (including its Department of City Development) (the “City”) the right and permission to use, without any compensation to me, photographs, video recordings, and/or sound recordings of me (herein called “Works”) made by the City or at its direction in websites, on the internet, in publications, in broadcasts, in print materials, in promotional flyers, in brochures, in educational materials, and derivative works’ understand that I may be identified by name and/or title in the Works. The City retains all ownership rights and all artistic discretion and control concerning the Works. I have read this document, understand same, and sign it voluntarily. I am at least 18 years old, and I sign this document for myself and on behalf of any of my children identified below as their parent and guardian.
I have read and agree with the above statement *
Required
Thank you again for your interest! If you have any questions feel free to email us at loveyourblock@milwaukee.gov or call 414-286-6458
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