Helping Hands International: Celebration Event - Hope Community Park Dedication!
Please fill out this registration form if you are planning to attend the Hope Community Park celebration event on 05/18/21 at 5:30 p.m. at 1065 Crews Road, Medford OR 97501.  We will be celebrating the completion of this 2020 Southern Oregon Makeover project and dedicating the space through prayer!  This is a free event and friends and family are welcome!  To help with headcount and refreshment plans, please fill out this form - thank you!
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First and Last Name (e.g. John Doe) *
Phone Number (e.g. 541-111-1111) *
Email (e.g. johndoe@gmail.com) *
Approx. Number of Guests Planning to Attend (Family and friends are welcome!) *
Food Allergies (e.g. nuts) *
Did you (or a member of your family) volunteer for this Service Project in 2020? *
Required
Would you (or a member of your family) be interested in volunteering for our 2021 Service Project?  Click here for more information: https://helpinghandsinternational.com/usa%3A-oregon *
Required
ACKNOWLEDGEMENT OF RISK AND RELEASE OF LIABILITY                                                               I, the undersigned participant in the Outreach identified above, have been advised of the nature of the activities that may take place during the Outreach (including, but not limited to, building projects, medical work and misc. projects) and hereby represent that I am physically and mentally able to participate in those activities.      I understand that the activities to be engaged in during the Outreach may involve foreseeable and unforeseeable risks and hazardous activity which may be dangerous and may involve the risk of injury, possibly even severe injury or death. I hereby represent that I am voluntarily assuming the risk of any such injury and agree to release and hold Helping Hands International, Inc., its directors, officers, staff members, agents, and volunteer workers (hereafter collectively referred to as “HHI representatives”) free and harmless from any and all liability for injury, damage and/or loss, to my person or property, in connection with my travel to, attendance at and participation in the Outreach, including but not limited to any such injury, damage or loss that may arise as a result of the negligence of Helping Hands International, Inc. or the HHI representatives.  I further acknowledge a greater risk of contracting the COVID-19 virus as I participate with other volunteers.  I also hereby release Helping Hands International, Inc. and any HHI representatives, and agree to indemnify and hold them harmless from and against any and all liability for any actions, damages, causes of action, suits, costs, losses, expenses, claims, demands, and judgments, collectively known as “Losses and Claims”, which I, my spouse, family members, children, invitees, heirs, executors, administrators, successors, and assignees ever had, now have or hereafter can, shall or may have resulting from or arising in connection with my travel to, attendance at or participation in the Outreach.  I also agree to hold Helping Hands International, Inc. and any HHI representatives free and harmless from any and all liability to any other person or entity for personal injury or property damage arising as a result of my negligent or intentional conduct during my travel to, attendance at and participation in the Outreach, and agree to defend and indemnify Helping Hands International and any HHI representatives against any Losses and Claims arising as a result of such conduct.  I am aware that many of the outreach locations may have a Travel Warning or Travel Alert in effect, which increases the risk Involved. Current Warnings and Alerts are posted on the U.S. State Dept. web site at www.travel.state.gov.  In the event that I may need emergency medical treatment during my participation in the Outreach, Helping Hands International and the HHI representatives are hereby authorized on my behalf to arrange for any medical and hospital treatments as may be deemed advisable for my health and well being. I hereby consent to the performance of such medical treatment, anesthesia and surgery as, in the opinion of an attending physician, is deemed necessary.  I, the undersigned, have read the above Acknowledgment of Risks and Release of Liability and agree to its provisions. I am aware that this is a release of liability and a binding contract which shall be governed by Oregon law and that this Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Oregon. If any portion of this Agreement is held to be invalid, it is agreed that the remainder shall, notwithstanding, continue in full force and effect. *
Required
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