Volunteer Registration Form
Email address *
Name (Please include Middle Initial) *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Emergency Contact Name/Phone *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Church Affiliation
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Do you wish to receive periodic updates via your e-mail?
Is this for mandatory Community Service?
Court Ordered
Number of Court Ordered Hours
Your answer
Educational Hours
Number of Educational Hours
Your answer
Are you Seasonal
Release of Liability
RELEASE OF WAIVER OF LIABILITY PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (The "Release") executed on this day, by ("The Volunteer ") in favor of HOPE for North Port Community Development Corp. . a non-profit corporation, organized and existing under the laws of the State of Florida (HOPE for North Port). I, the Volunteer desire to work as a volunteer for HOPE for North Port. I hereby freely and voluntarily, without duress execute this Release under the following terms
Agree *
Release and Waiver
RELEASE AND WAIVER. I the volunteer do hereby release and forever discharge and hold harmless HOPE for North Port and its successors of whatever kind or nature, either in law or equity, Which arise or may hereafter arise from my work for HOPE for North Port Community Development Corporation. I understand and acknowledge that this Release discharges HOPE for North Port from any liability or claim that I may have against HOPE for North Port with respect to any bodily injury, personal injury, illness, death, or property damage that may result from HOPE for North Port's participation. I also understand that HOPE for North Port does not assume any responsibility or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance in the event of injury or illness, death or property damage. I hereby release and forever discharge HOPE for North Port from any claim whatsoever which arises or may hereafter arise on account of any first aid treatment or other medical services rendered in connection with an emergency during my time within HOPE for North Port. Assumption of Risk. I, the volunteer understand that my time with HOPE for North Port may include activities that may be hazardous to me, including, but not limited to, strenuous lifting, loading and unloading, and local transportation to and from the event sites. So I recognize and understand that my time with HOPE for North Port may, in some situations, involve inherently dangerous activities. I hereby expressly and specifically assume the risk of injury or harm in the activities and release HOPE for North Port from all liability for injury, illness, death, or property damage resulting from the activities during my time with HOPE for North Port. Photographic release. I grant and convey unto HOPE for North Port’s rights, title, and interest in any and all photographic images and video or audio recordings made by HOPE for North Port, including but not limited to any royalties, proceeds, or other benefits derived from such photographs or recordings. Other. I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Florida. I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of clause or provision shall otherwise affect the remaining provisions of this Release which shall continue to be enforceable. To express my understanding of the Release, I sign here with a witness
Date *
MM
/
DD
/
YYYY
Volunteer Signature *
By signing below, I understand and accept the event rules & regulations and safety requirements listed on this application.
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy