CLAIMS AND ASSUMPTION OF RISK. Please read this language carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/xxxx may sustain as a result of participating in any and all activities connected with and associated with your (or your minor child/xxxx’x) volunteer services (including transportation services, when provided). As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in any volunteer activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I (or my minor child/xxxx) may sustain as a result of my volunteer services. I further agree to waive and relinquish all claims I (or my minor child/xxxx) may have (or accrue to me or my minor child/xxxx) as a result of my volunteer services against the Waukegan Park District and any joint sponsor(s) including their respective officers, officials, agents, volunteers and employees (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that I (or my minor child/xxxx) may have or which may accrue to me (or my minor child/xxxx) and arising out of, connected with, or in any way associated with my (or my minor child/xxxx’x) volunteer services. I further agree and understand that this waiver and release of all claims and assumptions of risk is valid and enforceable through December 31st of the calendar year noted below and shall apply to any and all volunteer activities and services I participate in during this calendar year. I have read and understand the above agreement and waiver and release of all claims and assumption of risk and agree to its terms. If submitting information on-line or via fax, my on-line e-mail or facsimile signature shall substitute for and have the same legal effect as an original form signature.
Appears in 3 contracts
Samples: Volunteer Agreement, Volunteer Agreement, Volunteer Agreement
CLAIMS AND ASSUMPTION OF RISK. Please read this language carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/xxxx may sustain as a result of participating in any and all activities connected with and associated with your (or your minor child/xxxx’x) volunteer services (including transportation services, when provided). As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in any volunteer activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I (or my minor child/xxxx) may sustain as a result of my volunteer services. I further agree to waive and relinquish all claims I (or my minor child/xxxx) may have (or accrue to me or my minor child/xxxx) as a result of my volunteer services against the Waukegan Park District and any joint sponsor(s) including their respective officers, officials, agents, volunteers and employees (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that I (or my minor child/xxxx) may have or which may accrue to me (or my minor child/xxxx) and arising out of, connected with, or in any way associated with my (or my minor child/xxxx’x) volunteer services. I further agree and understand that this waiver and release of all claims and assumptions of risk is valid and enforceable through December 31st of the calendar year noted below and shall apply to any and all volunteer activities and services I participate in during this calendar year. I have read and understand the above agreement and waiver and release of all claims and assumption of risk and agree to its terms. If submitting information on-line or via fax, my on-line e-mail or facsimile signature shall substitute for and have the same legal effect as an original form signature.. PLEASE PRINT CLEARLY FIRST NAME LAST NAME ADDRESS CITY State ZIP PHONE # E-MAIL ADDRESS EMERGENCY CONTACT PHONE NUMBER No Rotary Police Alumni Xxxxxx Bank College of Lake Co. Other ORGANIZATION? ARE YOU AFFILIATED WITH A SERVICE SIGNATURE DATE AGE o Under 18o 18+ (IF UNDER 18 GUARDIAN MUST SIGN) (THIS INFORMATION SHOULD BE UPDATED ANNUALLY – expires Dec 31st of current year)
Appears in 1 contract
Samples: Volunteer Agreement
CLAIMS AND ASSUMPTION OF RISK. Please read this language carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/xxxx may sustain as a result of participating in any and all activities connected with and associated with your (or your minor child/xxxx’x) volunteer services (including transportation services, when provided). As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in any volunteer activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I (or my minor child/xxxx) may sustain as a result of my volunteer services. I further agree to waive and relinquish all claims I (or my minor child/xxxx) may have (or accrue to me or my minor child/xxxx) as a result of my volunteer services against the Waukegan Park District and any joint sponsor(s) including their respective officers, officials, agents, volunteers and employees (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that I (or my minor child/xxxx) may have or which may accrue to me (or my minor child/xxxx) and arising out of, connected with, or in any way associated with my (or my minor child/xxxx’x) volunteer services. I further agree and understand that this waiver and release of all claims and assumptions of risk is valid and enforceable through December 31st of the calendar year noted below and shall apply to any and all volunteer activities and services I participate in during this calendar year. I have read and understand the above agreement and waiver and release of all claims and assumption of risk and agree to its terms. If submitting information on-line or via fax, my on-line e-mail or facsimile signature shall substitute for and have the same legal effect as an original form signature.. PLEASE PRINT CLEARLY FIRST NAME LAST NAME ADDRESS CITY State ZIP PHONE # E-MAIL ADDRESS EMERGENCY CONTACT PHONE NUMBER ARE YOU AFFILIATED WITH A SERVICE ORGANIZATION? No Rotary _ Police Alumni Xxxxxx Bank College of Lake Co. Other SIGNATURE DATE AGE o Under 18o 18+ (IF UNDER 18 GUARDIAN MUST SIGN) (THIS INFORMATION SHOULD BE UPDATED ANNUALLY – expires Dec 31st of current year) C:\Documents and Settings\jschneider\My Documents\VOLUNTEER INFORMATION\Forms to set up a volunteer\volunteer forms\Volunteer Agreement Form.doc Created by Xxxxx Xxxxx updated 12/2/09 0000 XXXXXXXX XXXX XXXXXXXX RECREATION DEPARTMENT SPECIAL EVENTS I, am interested in volunteering Event 2015 Dates Location If Interested Volunteer Time Polar Bear Plunge January 1 Waukegan Municipal Beach 8:30 – 11:30am Valentine’s Dance (Special Recreation Event) February 13 Belvidere Rec. Center 5:45-8:45pm Bowling Tournament (Special Recreation Event) March 7 Brunswick Zone @ Fountain Square 8:30am-1:00pm Fitness Expo March 21 Field House 9:30am - 1:30pm Eggstravaganza Trail April 4 Belvidere Park 1:00-3:30pm Very Special Arts Festival (Special Recreation Event) May 1 (Friday) Field House 9:15am – 12:15pm Live Green Family Festival May 17 (Sunday) Xxxxx Park 12:30 – 4:30pm Fishing Derby June 6? TBD by DNR Xxxxxx Park 7:00 -11:00am American Independence Festival June 28 (Sunday) Xxxxx Park 1:30 – 5:30pm American Independence Parade June 28 (Sunday) Xxxxx Park 12:15 – 3:15pm Kids Yard Sale July 18 Belvidere Park 8:30am – 3:30pm Touch A Truck August 7 Belvidere Park 4:00 - 8:00pm Worldwide Day of Play September 19 Field House 10:30am -2:30pm Child Safety Day October 10 Belvidere Rec. Center 12:00pm – 4:00pm Halloweenfest October 31 Xxxxx Park 2:00-7:30pm Turkey Trot November 14 Belvidere Park 8:30am-12:30pm
Appears in 1 contract
Samples: Volunteer Agreement
CLAIMS AND ASSUMPTION OF RISK. Please read this language carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/xxxx may sustain as a result of participating in any and all activities connected with and associated with your (or your minor child/xxxx’x) volunteer services (including transportation services, when provided). As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in any volunteer activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I (or my minor child/xxxx) may sustain as a result of my volunteer services. I further agree to waive and relinquish all claims I (or my minor child/xxxx) may have (or accrue to me or my minor child/xxxx) as a result of my volunteer services against the Waukegan Zion Park District and any joint sponsor(s) including their respective officers, officials, agents, volunteers and employees (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that I (or my minor child/xxxx) may have or which may accrue to me (or my minor child/xxxx) and arising out of, connected with, or in any way associated with my (or my minor child/xxxx’x) volunteer services. st I further agree and understand that this waiver and release of all claims and assumptions of risk is valid and enforceable through December 31st 31 of the calendar year noted below and shall apply to any and all volunteer activities and services I participate in during this calendar year. I have read and understand the above agreement and waiver and release of all claims and assumption of risk and agree to its terms. If submitting information on-line or via fax, my on-line e-mail or facsimile signature shall substitute for and have the same legal effect as an original form signature.. WARNING OF RISK Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when providing volunteer services. Understandably, not all hazards and dangers can be foreseen. Volunteers must understand that depending upon the volunteer services, certain risks, dangers and injuries due to acts of God, inclement weather, slip and falls, inadequate or defective equipment, failure in supervision or instruction, premises defects, horseplay, carelessness, lack of skill or technique, and all other circumstances inherent to the particular volunteer services exist. In this regard, it must be recognized that it is impossible for the Park District/SRA to guarantee absolute safety. FIRST NAME LAST NAME ADDRESS CITY STATE ZIP PHONE # EMAIL ADDRESS _ EMERGENCY CONTACT PHONE # ARE YOU AFFILIATED WITH A SERVICE ORGANIZTION? (Please specify) SIGNATURE DATE If under 18, Guardian Must Sign AGE UNDER 18 18 AND OLDER ZION PARK DISTRICT Volunteer Application Name (Print): Last Middle First Address: Apt. #: City: State: Zip: Telephone Number: ( ) Cell Number: ( ) E-mail Address: @ (Please Print Clearly) Birth Date: / / Gender: Male Female Race: Social Security: Have you ever volunteered at the Zion Park District/SRSNLC before? Yes No Have you ever been convicted of or found to be a child sex offender? Yes No Specific Areas/Programs Interested in volunteering for: Age groups interested in working with: Any special experiences or skills: Days, dates, times I am willing to volunteer (circle all that apply): M T W Th F S Su Dates available: Times available: References: Name: Address: City: State: Zip: Phone number: Email Address: (required) Relationship: Name: Address: City: State: Zip: Phone number: Email Address: (required) Relationship: I certify that answers given above are true and complete to the best of my knowledge. I authorize background check to be completed to determine qualifications related to the volunteer position, according to Zion Park District Policies. I understand that this application is for a volunteer position only and does not guarantee a volunteer position or act as a contract in any way. Signature Required: Date Supervisor Signature Date
Appears in 1 contract
Samples: District Volunteer Agreement
CLAIMS AND ASSUMPTION OF RISK. Please read this language carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/xxxx may sustain as a result of participating in any and all activities connected with and associated with your (or your minor child/xxxx’x) volunteer services (including transportation services, when provided). As a volunteer, I recognize and acknowledge that there are certain risks of physical injury to volunteers in any volunteer activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I (or my minor child/xxxx) may sustain as a result of my volunteer services. I further agree to waive and relinquish all claims I (or my minor child/xxxx) may have (or accrue to me or my minor child/xxxx) as a result of my volunteer services against the Waukegan Park District and any joint sponsor(s) including their respective officers, officials, agents, volunteers and employees (hereinafter collectively referred as “Parties”). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages, or loss that I (or my minor child/xxxx) may have or which may accrue to me (or my minor child/xxxx) and arising out of, connected with, or in any way associated with my (or my minor child/xxxx’x) volunteer services. I further agree and understand that this waiver and release of all claims and assumptions of risk is valid and enforceable through December 31st of the calendar year noted below and shall apply to any and all volunteer activities and services I participate in during this calendar year. I have read and understand the above agreement and waiver and release of all claims and assumption of risk and agree to its terms. If submitting information on-line or via fax, my on-line e-mail or facsimile signature shall substitute for and have the same legal effect as an original form signature.. Have you or your child who is volunteering ever been convicted of a sex offense? YES NO
Appears in 1 contract
Samples: Volunteer Agreement
