WHOlanta Volunteer Information Form
Thank you for your interest in volunteering with WHOlanta 2019. Please note that we do NOT share any of the information you provide outside of the Directors.

BY FILLING OUT THIS FORM YOU AGREE THAT YOU ARE OVER 18

First Name *
Your answer
Last Name *
Your answer
Badge Name *
Your answer
Contact Phone Number (Primary) *
Please enter in your phone number as 000-555-1122
Your answer
Primary Email Address *
Your answer
Do you have any physical limitations we need to know about?
Examples: can't stand or sit for long periods of time, can't lift etc.
Your answer
Department *
Please note that we require a minimum of 8 hours over the weekend from each volunteer in order to receive a badge. Scheduling will occur closer to the Con. If you were recruited by a Director and already know which area you'll be working, simply select that one. If you are a volunteer for a Programming Track, you must complete the next question as well. We will accommodate your desired area as much as possible but positions may change due to scheduling and current needs. Thank you.
Programming Track
Please complete if you selected "Programming Tracks" in the previous field.
Position *
How many years on WHOlanta (and TimeGate) staff? (0-14) *
Your answer
Have you paid for your WHOlanta badge yet? *
If you have worked as staff 3 or more years, you get a free badge. If you have worked for staff 2 years or less, a staff badge is $15.00 for 8+ work hours. If you are working less than 8 hours over the convention, you need to pay the regular rate.
Have you been added to WHOlanta Volunteers Facebook group? *
Facebook Name
What is your Facebook name if you need to be added?
Your answer
Emergency Contact (Name) *
Your answer
Emergency Contact (Phone Number) *
Your answer
Allergies/Medical *
Please list each separately. If you take medication for any medical concerns please list those as well (this is for in case of emergency). If you do not have any medical concerns, or allergies that we need to be aware of please type "NONE" below.
Your answer
Release and Waiver of Liability
By submitting this Application, the Volunteer hereby freely, voluntarily, and without duress executes this Release under the following terms:

The badge that I will receive in exchange for volunteering at WHOlanta Convention is a limited, revocable license to volunteer at WHOlanta Convention, which may be revoked or revised at any time at the sole discretion of WHOlanta Convention. All badge holders and licenses granted thereto are subject to the rules and regulations of WHOlanta Convention. WHOlanta Convention may apply additional fees and limitations for certain activities. A badge may be revoked and a badge holder ejected from the convention for disorderly conduct, a violation of the state, county, city, or local law or WHOlanta Convention rules, regulations, or policies, or at the sole discretion of a WHOlanta Convention official.

Waiver and Release: Volunteer does hereby release and forever discharge and hold harmless WHOlanta Convention and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, that arise or may hereafter arise from Volunteer's Activities with WHOlanta Convention. VOLUNTEER UNDERSTANDS THAT THIS RELEASE DISCHARGES WHOLANTA CONVENTION FROM ANY LIABILITY OR CLAIM THAT THE VOLUNTEER MAY HAVE AGAINST WHOLANTA CONVENTION WITH RESPECT TO ANY BODILY INJURY, PERSONAL INJURY, ILLNESS, DEATH, OR PROPERTY DAMAGE THAT MAY RESULT FROM VOLUNTEER'S ACTIVITIES WITH WHOLANTA CONVENTION WHETHER CAUSED BY THE NEGLIGENCE OF WHOlanta CONVENTION OR ITS OFFICERS, DIRECTORS, EMPLOYEES, OR AGENTS OR OTHERWISE. VOLUNTEER ALSO UNDERSTANDS THAT WHOLANTA CONVENTION DOES NOT ASSUME ANY RESPONSIBILITY FOR 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.

Medical Treatment/Assumption of Risk: Volunteer does hereby release and forever discharge WHOlanta Convention from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer's Activities. The Volunteer understands that the Activities may involve work that may be hazardous to the Volunteer, including, but not limited to, setting up equipment, tables, chairs, etc., crowd control and interacting with patrons. Volunteer hereby expressly and specifically assumes the risk of injury or harm in the Activities, and releases WHOlanta Convention from all liability for injury, illness, death, or property damage resulting from the Activities. The Volunteer understands that, except as otherwise agreed to by WHOlanta Convention in writing, WHOlanta Convention does not carry or maintain health, medical, or disability insurance coverage for any Volunteer. Each Volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage.

Photographic Release: Volunteer does hereby grant and convey unto WHOlanta Convention all right, title, and interest in any and all photographic images and video or audio recordings made by WHOlanta Convention during the Volunteer's Activities with WHOlanta Convention, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. Volunteer also understands they are prevented from taking, recording, or creating film, or digital pictures, videos, tapes, sound recordings, or any other visual or auditory recreation of any kind whatsoever, of any WHOlanta Convention guest, member, volunteer, or employee, or of any WHOlanta Convention event, including but not limited to any WHOlanta Convention forum, seminar, session, dance, or performance, for any commercial use, or for the soliciting of funds for any commercial or other purpose, without the express permission, in writing, of WHOlanta Convention.

Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Georgia, Dekalb County and the City of Atlanta, GA, and that this Release shall be governed by and interpreted in accordance with the laws of State of Georgia, Dekalb County and the City of Atlanta, GA. Volunteer also agrees 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 such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

Please type your name to indicate that you have read and understand the above release and that all the information on this form is true and correct.
Your answer
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