Maple Grove Farmers Market
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Email *
Name *
Cell Phone Number *
Email Address *
Volunteers must be 16 or older. Do you meet the age requirement? *
School/ Employer/Occupation *
Special Training/ Skills *
Volunteer Experience (agency name, duties, # of years) *
Special Needs/ Requests *
TWO People to Notify in Case of Emergency (include: Name, Relationship, Phone & Email) *
I understand that I am asking to provide volunteer services to the City, and that the City will not be responsible for any injuries that may be sustained when providing the volunteer activity. Unless the City acts in a negligent manner, I shall assume all liability for my actions, and hold the City of Maple Grove harmless from any and all claims for damages,actions, or causes of action which are in any way connected with the volunteer activities that I am doing. I understand that I am not an employee of the City and am a volunteer. Consequently, I understand and agree that I am not covered by the City’s worker’s compensation, nor any other City Plans of Benefits. Further, I understand and agree that my actions do not obligate or become the responsibility of the City of Maple Grove.I understand that some of the information I provided on this application is considered private data and will be used only to determine volunteer placement. Refusing to provide this information may cause staff in the City of Maple Grove difficulties in determining volunteer opportunities. This information provided will only be accessible to myself,appropriate staff of the City of Maple Grove or as authorized by State Statutes.I verify this information is correct and I understand I am applying for a volunteer position. (sign your name, date, and include parents signature if under 18) *
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