Minor Release Form 2020
This form is to be completed by the parent of any volunteers under the age of 18. Teen Volunteers must be at least 16 years old.
First Name *
Last Name *
Address *
City, Sate *
Zip code *
Cell Phone Number *
Email Address *
Date of Birth *
MM
/
DD
/
YYYY
Parent Information
First Name *
Last Name *
Address (If different from Minor)
City, State
Zip Code
Email Address *
Phone Number *
Alternative Phone Number *
Release and Waiver
I wish to volunteer for Eva’s Heroes. I understand that the nature of volunteer activities that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT I SUSTAIN OR CAUSE DURING MY PARTICIPATION AS A VOLUNTEER. IN ADDITION, I, FOR MYSELF, MY CHILD, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ANYONE IN PRIVITY WITH ME, HEREBY RELEASE, HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE WASHINGTON STATE APPLE BLOSSOM FESTIVAL, THE EVENT DIRECTOR, THE CITY OF WENATCHEE, ANY OF THEIR EMPLOYEES, VOLUNTEERS, PARTNERS, AGENTS, SPONSORS, BOARD MEMBERS, ASSIGNS AND SUCCESSORS FROM ANY AND ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY SERVICE AS A VOLUNTEER. I will additionally permit the use of my name and pictures in broadcasts, telecasts, newspapers, brochures, etc. As a participating volunteer, I certify all information provided in this form is true and complete. Please type full name below
Type full name of Minor below *
Today's Date *
MM
/
DD
/
YYYY
Parent/Guardian's Release and Waiver for Child's Participation
I understand that the nature of volunteer activities that my child may perform in my child’s capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of my child being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT MY CHILD SUSTAINS OR CAUSES DURING MY CHILD’S PARTICIPATION AS A VOLUNTEER. IN ADDITION, I, FOR MYSELF, MY CHILD, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ANYONE IN PRIVITY WITH ME, HEREBY RELEASE, HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE WASHINGTON STATE APPLE BLOSSOM FESTIVAL, THE EVENT DIRECTOR, THE CITY OF WENATCHEE, AND ANY OF THEIR EMPLOYEES, VOLUNTEERS, PARTNERS, AGENTS, SPONSORS, BOARD MEMBERS, ASSIGNS AND SUCCESSORS FROM ANY AND ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY CHILD’S SERVICE AS A VOLUNTEER. I will additionally permit the use of my child’s name and pictures in broadcasts, telecasts, newspapers, brochures, etc. As a participating volunteer, I certify all information provided in this form is true and complete.
Type full name of Parent Below *
Today's Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Eva's Heroes. Report Abuse