2019 Volunteer Sign-up, Waiver, Release and Indemnity
Please return this form or a hard copy to a captain by May 31st, 2019
Please print your full legal name below:
I, the undersigned volunteer, desire and agree to volunteer for Jefferson County Lutheran Grace Day 2019 at Zion Lutheran Church in Hillsboro. By choosing the box below, I am showing that I further understand and agree as follows: I am donating my time and services without any compensation and shall at no time be considered an employee or independent contractor of Zion Lutheran Church and they will not provide insurance coverage for me; I know of no reasons, medical or otherwise, that would prevent me from performing the tasks required to participate in this volunteer activity; I assume all risks of participating in this volunteer activity and full responsibility for my conduct and actions, including any injury to myself or others or damage to property that may result while volunteering, and I understand that Zion Lutheran Church is not responsible for conditions that I create myself or those created by other volunteers or participants; I, binding my heirs, executors, administrators and assigns, hereby agree to release, hold harmless and indemnify Zion Lutheran Church, its officers, officials, employees, agents and volunteers from and against any and all loss, damage, expense or cost (including attorney fees) of any kind for injuries (including property damage, personal injury, disability and death) arising out of this volunteer activity, whether caused by the negligence of Zion Lutheran Church or otherwise.
I Understand & Agree w/ All Terms & Conditions.
Do you have a Green Jefferson County Grace Day Shirt?
(if you answered "No" on the question above) Shirt Size:
Unable to Stand for Long Periods of Time.
Cannot Handle Heat.
What is your position/station is your preference?
Security & Logistics
Wherever I am needed
Church or Affiliation
Immanuel Festus/Crystal City
Cedar Hill Lutheran
St. Paul's Imperial
St. John's Arnold
Do you plan on attending the debrief on Aug 17th?
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