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Name *
Email *
Phone Number
What is your first choice volunteer role? *
What is your second choice volunteer role?
*
What is your third choice volunteer role?
Clear selection
If you would like to do multiple volunteer roles, which ones would you like to do? 

(It may be difficult, but one could technically do all of them if they desire)
Release Statement
In consideration for BEST, AARP Oregon, LiveMove, and the City of Eugene allowing the above described individual to participate in the Better Ways Block Party, I, the undersigned, being duly authorized by the applicant and on their behalf, and on behalf of any personal representatives, hereby waive, discharge and release any and all rights and claims for injury to myself or others, loss or damage to personal property and the property of the applicant, including theft or vandalism thereof, that may be suffered as a result of said participation in the Better Ways Block Party.

On behalf of myself, the above described applicant, I further authorize the taking and use of photographic images of the applicant associated with volunteering for future promotional use by the Better Ways Block Party and waive any and all rights to said images or revenue derived from said images.

I have read, understand, and accept the terms of the release agreement and application.
Signature?
Legal Name
*
Date? *
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This form was created inside of Better Eugene-Springfield Transportation (BEST).