Injury Release and Public Safety for CSBL - Required for Adult (18+) Volunteer Participation

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To volunteer for Christmas Storybook Land all adult (age 18 or over) volunteers must complete the Injury Release and Public Safety acknowledgements below. This also applies to volunteers who are parents or guardians of minors.

If you have any questions, you may email CSBLGreeters@gmail.com for assistance,

Email *

First Name *

Last Name *

Phone Number *

Example: 541-990-0000

Organization or Business Affiliation *

List the organization or business name you are volunteering with. Enter "NA," if you are not with an organization or business.

Minor(s) (17 and under) *

List any minor(s) (17 and under) volunteering with you. Minors age 12 and under must be accompanied by a parent/guardian at all times. Provide their full name, age and relationship to you. Enter "NA," if you do not have minors volunteering with you.

Example: Jane Smith (8, daughter), John Smith (11, son).

INJURY RELEASE ACKNOWLEDGEMENT *

As a volunteer at Christmas Storybook Land (CSBL), I hereby assume full responsibility for any injury, damage, or accident that may occur during my participation, or that of the minors listed above, in this event or while on the premises. I hereby release, acquit, discharge, and hold harmless Christmas Storybook Land, its affiliated individuals, and any event sponsors, including their agents, representatives, or successors, from any and all claims, demands, damages, costs, attorney’s fees, or liabilities of any nature arising from or in any way connected with Christmas Storybook Land.

I have read and accept the injury release statement above.

Yes

PUBLIC SAFETY *

To help us maintain a safe and welcoming environment for everyone, all volunteers 18 or olders must answer the following public safety question. Honestly check all that apply to you.

I have been convicted of a felony involving children, disabled, or elderly.

I have been convicted of a felony involving interpersonal violence.

I have been convicted of any other felony in the past 5 years.

I'm required to register as a sex offender (in any state, not just Oregon).

None of the above apply to me.

Required

PUBLIC SAFETY DETAILS *

Enter "NA," if you answered "None of the above apply to me."

If you selected any other option, please provide an explanation of the circumstances you would like CSBL leadership to consider when reviewing your eligibility to volunteer. A CSBL leader will contact you to review further.

Note that eligibility is determined solely at the discretion of CSBL leadership, and there is no appeal process.

ADDITIONAL ACKNOWLEDGMENTS *

CSBL may use any photographs, recordings or any other media of this event for legitimate purpose.
CSBL has the right to terminate participation of any volunteer without cause or explanation, and without liability therefore.

I have read and accept the additional acknowledgements above.

Yes

PRIVACY POLICY

We do not share your personal information and will not use your email address for any purpose other than communicating to you about Christmas Storybook Land activities.

SIGNATURE *

By signing and submitting this form, you confirm that you are at least 18 years old, have read and understand this consent form, and that the information provided is true and accurate.

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