WaterFire Salute to Veterans Stationary Torchbearer Sign up
Please fill in the required information prior to October 18th, 2019 at 5:00 pm to participate in the WaterFire Salute to Veterans as a STATIONARY Torch Bearer. 150 Veteran torchbearers process from the State House and will arrive at your position in the Waterplace Park Basin light a second mounted stationary torch. Please wear your service uniform if possible or something else that signifies your service.

***Instructions on when and where to meet prior to lighting will be sent to you before the event. Please read them carefully prior to joining us***
First Name *
Your answer
Last Name *
Your answer
Branch of Service *
Pick One
Service Era *
Your answer
Gender *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Day Of Phone Number
if different from above
Your answer
Email Address: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Are you 18 or over? *
Required
I understand I may not carry any large bags
Mobility Issues *
Please let us know if you have any mobility issues and need assistance
Required
GENERAL RELEASE AND WAIVER OF LIABILITY
1. WAIVER AND RELEASE.
In consideration of my participation in WaterFire Providence, I hereby release, indemnify, and hold harmless WaterFire Providence, its board members, officers, employees, volunteers, sponsors, and Barnaby Evans from any and all claims, suits, demands, judgments, and liability for all personal injury, illness, death and/or property damage arising from or in connection with work or other services rendered to WaterFire Providence and/or Barnaby Evans whether as a volunteer, member, associate, affiliated member, whether paid or not. I understand that WaterFire Providence does not assume any responsibility or obligation to provide any financial or other assistance, including, but not limited to medical, health or disability insurance, in the event of personal injury, illness, death, and/or property damage.
2. ASSUMPTION OF RISK.
I am aware that participation with WaterFire Providence is potentially hazardous and entails a risk of physical injury. I understand and agree that I am electing to participate at my own risk.
3. DISCLOSURE.
I have informed WaterFire of any medical conditions that may impact my ability to carry or hold a torch. This includes, but is not limited to, breathing restrictions (asthma, COPD, etc.), mobility issues, sensitivity to light, poor night vision, problems standing.
4. PHOTO AND VIDEO RELEASE.
I hereby acknowledge that filming and still photography will take place during WaterFire events and grant WaterFire Providence full authorization to use any image taken during my participation with WaterFire in the videos and/or still photographs produced, without restriction.
5. POLICY.
It is important to us that we provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
6. DISCLAIMER.
WaterFire reserves the right to remove a torch, lit or unlit, from any participating individual at WaterFire's discretion.
TORCH BEARER GUIDELINES AND INSTRUCTIONS
These are the details, procedures, and rules to which WaterFire staff and trained volunteers adhere in order to ensure the safe use of torches and safety of torch bearers:
• Torch bearers must be 18 years of age or older.
• Note that torches are dipped in paraffin oil and thus are highly flammable. Care must be taken on the part of the torch bearer to avoid getting the oil on his/her person or clothes as this will make them flammable.
• Torch bearers must make sure to hold the torch high in the air and away from the body at a 45 degree angle.
• Torches should never be pointed straight down.
• Torches must be kept at least 6 feet away from all other people (including the crowd and other torch bearers). Remember to maintain a safe distance from your own hair and face.
• Handlers should pay particular attention to the wind direction as it can quickly catch the flame and affect its direction and clearance.
• The torch flame will burn very large at first and then will gradually burn down.
• Torches may be carefully laid down on the ground if the torch bearer is concerned by the flame. Do not throw the torch.
• Additional trained personnel will be on hand to assist any handlers who encounter issues.
• If someone’s body or clothes catch on fire, that person should immediately lie on the ground and roll to extinguish the flames. Remember: stop, drop & roll. Do not run.
• When walking with the torch, be sure to walk at a careful speed and pay attention to potential obstacles.
• Torch bearers always should be aware of the people in front of them, and maintain safe distances at all times, particularly when stopping or when descending stairs.
• Torch bearers should always be aware of low hanging trees and other extraneous obstacles.
• Everyone should be aware of the strobe light/flame effect. Some people can have a physical reaction to a flickering torch. If you are in distress, please place your torch on the ground or let one of the special ops volunteers assist you. If you see someone else in distress, work with them to safely relieve them of their torch and provide assistance.
• Torch bearers cannot be accompanied by children, family members or other adults.
• Handbags, purses, and other bags should be left in a secure location or with a guest of the torch bearer for the duration of the torch ceremony.
By clicking "yes", I affirm that I have read, understood and agree with the content of the General Release and Waiver of Liability AND the Torch bearer guidelines and instructions. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of WaterFire Providence. Report Abuse - Terms of Service