2017 Fun Run & Discovery Fair Volunteer Registration
Franklin Pierce YOUTH FIRST Fun Run and Discovery Fair
First Name
Your answer
Last Name
Your answer
Day of Phone Number
Your answer
Email Address (if no email, please type n/a)
Your answer
Date of Birth
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Parent's Name (if under the age of 18)
Your answer
Sex
School (Please bring a volunteer form with you if requesting volunteer hours.)
Group you are volunteering with (if applicable)
Your answer
Please select volunteer opportunity:
We have a variety of roles for volunteers and rely on volunteer for set-up, during the event and take down. Please select the times you can volunteer. You may select more than one.
Required
WAIVER STATEMENT
I wish to participate in the above activity scheduled at Pacific Lutheran University. I am fully aware of the special dangers and risks inherent in participating in the activity, including physical injury, death or other consequences arising or resulting from the activity. I agree to accept full responsibility for such risks. I agree to accept responsibility for all implied risks and possible acts of negligence by other persons and/or agents of Franklin Pierce YOUTH FIRST! and PLU. I further agree to advise activity planners of any physical or mental limitations I may have. I agree to be fully responsible for my own property and equipment related to this activity. In consideration of my voluntary application and as a requirement to participate in this activity, I hereby release and indemnify Pacific Lutheran University and Franklin Pierce YOUTH FIRST! and their staff of any and all liability, claims and causes of actions arising out of or in any way connected with my participation in this activity offered at PLU. I also agree to allow any medical personnel the opportunity to treat an illness, injury, or any other medical condition. I agree to accept full responsibility for any medical costs which may result from my participation and for any treatment for any injury sustains while taking part in this program. I also agree that if any part or all of the event is cancelled for any reason, that all entry fees are nonrefundable. Further, I hereby grant full permission to presenters, promoters and all other persons and entities associated with the event to use any photographs, videotapes, motion picture recordings, or any other record of this event involving me for any purpose whatsoever.
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Electronic Signature
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