Volunteer Application
Please fill out this form to be considered for a volunteer position with Crook County Parks & Recreation District (CCPRD)

If you'd like to volunteer as a coach, please see that application HERE.
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Email *
Name - First & Last *
Address *
Phone Number(s) *
Date of Birth *
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Social Security Number (used for criminal background check) *
Date of application *
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Name of parent or guardian (If under the age of 18)
Email address of parent or guardian
Address of parent or guardian
Phone number of parent or guardian
In what way(s) would you like to volunteer for CCPRD? (i.e. Park Clean-up, Recreation Class Helper) If you'd like to coach, please see that application HERE. *
Please describe any skills and abilities you have that would be beneficial to us to know about.
Have you ever volunteered for Crook County Parks & Recreation District before? If so when? What did you do? *
If you have volunteered in the past, were there issues or concerns that we should know about?  If so, please explain.  
Certain volunteers are required to go through specific training in order to serve in a volunteer capacity, if applicable, are you willing to go through training? *
What months are you available to volunteer for us? *
Required
Will you need any tools or supplies to accomplish you desired goals? If so please list out what you will need.
Please list your shirt size
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XXL
Youth
Adult
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Volunteer Release and Waiver of Liability Form

This Release and Waiver of Liability Form (“Release”) executed on the date written below by
 (“Volunteer”) releases Crook County Parks and Recreation District, (“District”) and each of its officials, employees, and agents. The Volunteer desires to provide volunteer services for District and engage in activities related to serving as a volunteer.

Volunteer understands that the scope of Volunteer’s relationship with District is limited to a volunteer position
and that no compensation is expected in return for services provided by Volunteer; that District will not
provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible
for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s services
to District.

1.    Waiver and Release. I, the Volunteer, release and forever discharge and hold harmless District and
its successors and assigns from any and all liability, claims, and demands of whatever kind of nature either in
law or in equity, which arise or may hereafter arise from the services I provide to District. I understand and
acknowledge that this Release discharges District from any liability or claim that I may have against District
with respect to bodily injury, personal injury, illness, death, or property damage that may result from the
services I provide to District or occurring while I am providing volunteer services.
2.    Insurance. Further, I understand that District does not assume any responsibility for or obligation to
provide me with financial or other assistance, including but not limited to, medical, health, or disability
benefits or insurance. I expressly waive any such claim for compensation or liability on the part of District
beyond what may be offered freely by District in the event of injury or medical expenses incurred by me.
3.    Medical Treatment. I hereby Release and forever discharge District 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 tenure as a volunteer with District.
4.    Assumption of Risk. I understand that the services I provide to District may include activities that
may be hazardous to me. As a volunteer, I hereby expressly assume risk of injury or harm from these activities
and Release District from all liability.
5.    Photographic Release. I grant and convey to District all right, title, and interests in any and all
photographs, images, video, or audio recordings of me or my likeness or voice made by District in connection
with my providing volunteer services to District.
6.    Other. As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as
permitted by the laws of the State of Oregon and that this Release shall be governed by and interpreted in
accordance with the laws of the State of Oregon. I agree that in the event that clause or provision of this
Release is deemed invalid, the enforceability of the remaining provision of this Release shall not be affected.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY IS A CONTRACT BETWEEN MYSELF AND DISTRICT, AND ACCEPT IT OF MY OWN FREE WILL.
Consent to Criminal Records Search
Applicant hereby consents to have Crook County Parks & Recreation District investigate all criminal records in applicants name in a criminals record database.  Applicant is aware that information retrieved from such a search may affect the District's decision to allow me to volunteer.  
I give my consent to terms and conditions *
Required
Date Submitted:
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