Maine Foodscapes Volunteer Registration
See our volunteer descriptions at www.mainefoodscapes.org/volunteer

The work of Maine Foodscapes is made possible by people like YOU willing to contribute love, time and resources to help build community and equitable access to healthy foods for all Maine residents.

Thank you for your interest in volunteering to connect Mainers with healthy food!

We can't wait to work with you. Please take a moment to fill out the form below.

If you have any questions, please e-mail us at volunteer@mainefoodcapes.org.

Email address *
What is your name? *
Your answer
What is your phone number? *
Your answer
I am interested in volunteering my time to *
Required
I am interested in contributing *
Required
I am available *
Required
I am available on *
Required
Where do you live? *
Your answer
How far are you willing to travel? (Note: We serve both Cumberland and York Counties) *
Your answer
Will you need transportation? *
Can you offer rides to other volunteers or gardeners in need of transportation? *
Did you find out about volunteering with us through one of the following organizations? *
Required
PHOTO RELEASE: "I hereby grant to Maine Foodscapes, a non-exclusive, worldwide, irrevocable license to use my image in marketing materials and social media." (Please enter your initials below.) *
Your answer
Release of Liability
I, _______________________________ (Your First and Last Name), am willfully participating as a FOODSCAPES VOLUNTEER. My hands-on participation in Foodscapes Activities is done so entirely at my own risk.

I am aware of the risks associated with participating in the Activities associated with the role of FOODSCAPES VOLUNTEER which may include, but is not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss, and death. While these risks are highly unlikely, and may result from my own or another Volunteer's negligence, I assume all known and unknown related risks of my own willful participation in these Activities.

I hereby waive any rights I have to make a case against Maine Foodscapes and forever release Maine Foodscapes, the organizing individuals and entities of this Activity, from any liability whatsoever arising out of, and all claims, harm, damages, or causes of action of any kind whatsoever arising out of my participation in the Activities.

I do hereby forever discharge Maine Foodscapes, their employees, volunteers, owners and affiliates, its managers, staff, volunteers, partners, and representatives, from any liability for any physical, economic, emotional, or psychological loss, injury or damages, including but not limited to the illness, paralysis, or death, that I or others may suffer as a direct result of my participation in the Activities.

I acknowledge that I have carefully read this “Waiver and Release” and fully understand that it is a release of all liability.

In the event that I should require medical care or treatment, I agree to be solely financially responsible for any costs incurred as a result of such treatment.

In the event that any damage to equipment or facilities occurs as a result of my negligence, recklessness, or willful act, I acknowledge and agree to be held liable for any and all costs and damages, including personal injury to myself or others, associated with the same.

RELEASE OF LIABILITY: I, the undersigned participant, affirm that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability. (Please write your name, and today's date.) *
Your answer
EMERGENCY CONTACT: In the event of an emergency, please contact the following person. Please provide us with your Emergency Contact name, Contact Relationship, and Contact Phone Number. *
Your answer
Any additional comments or questions?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service