Volunteer Event Registration Form

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Volunteer or Vendor
Registration Type*
Which event are you registering for?

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General Information
Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
DD slash MM slash YYYY
Email*
Enter Email Confirm Email
Volunteer Phone #*
Emergency Contact Name*
First Last
Emergency Contact Phone #*
Any physical limitations Veterans Center should be aware of?*
Are you representing a business?*

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Business Information
Business Name:
Business Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Website
Business Information and List of Services

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Code of Conduct
1. Represent Veterans Center in a positive manner at all times*
2. Practice and ensure safety measures at all times unless trained and directed to do so by a staff members.*
3. Always model respectful, kind behavior in words and actions, reflective of Veterans Center*
4. Always model respectful, kind behavior in words and actions, reflective of Veterans Center*
5. Arrive for scheduled shifts on time and stay until shift is completed. Call the volunteer coordinator if unable to make the scheduled volunteer shift.*
6. Sign in and out on the Volunteer Service Log each time a volunteer shift is completed.*

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Acknowledgements / Consent
Release of All Claims: Please read this form carefully and be aware that by signing this form and participating in Veterans Center’s volunteer projects and activities, you are assuming all risk and legal liability of participation and hereby waive and release all claims for injuries, damages or loss which you or your minor child might sustain as a result of participating in the Veterans Center’s volunteer projects and activities, either on-site or at any Veterans Center related activity.*
Acknowledgement and Assumption of Risk: I am duly aware of the risks and hazards that may arise through volunteering in a Veterans Center volunteer project, and assume any expenses and liabilities I incur in the event of an accident, illness or other incapacity. I understand that these activities may include strenuous work and physical activity. If I have any questions about the volunteer activity, its nature, risks or hazards, I will contact the Veterans Center volunteer coordinator and discuss those questions with he/she to my satisfaction. I am aware the activities in which I am voluntarily engaging require I be physically, mentally and emotionally fit and able to participate in this program. I recognize it is my sole responsibility to accurately and honestly assess my physical, mental and emotional fitness. I further state I am aware of all inherent dangers of participation and the risks associated with my participation in the Veterans Center volunteer activities and I understand, accept and assume those hazards and risks, and waive all claims against the Veterans Center and others as set forth below*
Acknowledgement and Assumption of Risk: I am duly aware of the risks and hazards that may arise through volunteering in a Veterans Center volunteer project, and assume any expenses and liabilities I incur in the event of an accident, illness or other incapacity. I understand that these activities may include strenuous work and physical activity. If I have any questions about the volunteer activity, its nature, risks or hazards, I will contact the Veterans Center volunteer coordinator and discuss those questions with he/she to my satisfaction. I am aware the activities in which I am voluntarily engaging require I be physically, mentally and emotionally fit and able to participate in this program. I recognize it is my sole responsibility to accurately and honestly assess my physical, mental and emotional fitness. I further state I am aware of all inherent dangers of participation and the risks associated with my participation in the Veterans Center volunteer activities and I understand, accept and assume those hazards and risks, and waive all claims against the Veterans Center and others as set forth below*
Release of Liability: I acknowledge that my participation in the Veterans Center volunteer project is voluntary and I agree to take due care during such participation. Furthermore, I hereby release and discharge, and agree to indemnify and hold harmless the officers, directors, members, agents, employees, landowners and volunteers of the Veterans Center against all claims, demands, causes of action whatsoever, relating to injury, disability, death or other harm, to person or property or both, which may arise out of my participation in this activity. I understand that this means that, among other things, I am giving up my right to sue for any such losses, damages, injury or costs that I may incur. After careful deliberation, I voluntarily give my consent and agree to this Acknowledgement and Assumption of Risk and Release of Liability. If above named person is a minor, than I assert that I am the parent or legal guardian of the participant listed above. I have read, understand and agree to the provisions of this Acknowledgement and Assumption of Risk and Release of Liability. I consent to the participant listed above taking part in the Veterans Center volunteer activity. I hereby release and discharge, and agree to indemnify and hold harmless, the Veterans Center and its officers, directors, members, agents, employees, landowners and volunteers of the Veterans Center, against all claims, demands and causes of action whatsoever, relating to injury, disability, death or other harm, to person or property or both, arising from my child’s/ward’s participation in the activities at a Veterans Center volunteer project.*
Consent: I irrevocably grant the Veterans Center and its agents, the unrestricted right to use my name, likeness, photos, video images and voice recording for any purpose including promotion, advertising or other purposes.*
Signature Acknowledgement Name:
First Last
Signature
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Step 1 of 6

Volunteer or Vendor

General Information

Business Information

Position Request

Code of Conduct

Acknowledgements / Consent