YANA Member Home Clean-up Volunteer Registration
Please specify if you are an individual or an organization * Organization Name First Name Last Name Address * City * State * Zip * Phone * Cell Phone Name of Contact Person Cell Phone Estimated Number of Volunteers Proposed Timing of Project if not yet determined. Email Address * Organization (if applicable) Emergency Contact #1 Relationship Phone Emergency Contact #2 Relationship Phone Volunteer Waiver I accept and agree to the terms stated below and register to volunteer with the City of Goodyear.
I, desiring to volunteer my time and services hereby agree to release, hold harmless and indemnify the City of Goodyear, its officers, agents and assigns, and its members, officers, agents and assigns, from any and all liability or claims of injury or damages of whatsoever nature which may be incurred by me as a result of my voluntary participation in any program sponsored by the City of Goodyear. If a Goodyear employee, I understand that my volunteer activities for the City of Goodyear will not be covered by workers compensation. I further understand that the work involved in the Program may include activities hazardous to the volunteer.
I further represent and certify that I am physically able to do the various activities described above without limitation, and that I have no disabilities which might prevent me from doing the same. I hereby grant and convey to the City of Goodyear all rights, title, and interest in any and all photographic images and video or audio recordings made by the City of Goodyear during the volunteer’s activities with respect to the Program, including but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings. I am 18 years of age or older. Parental/Guardian Consent Form required if under 18. If you're under 18, a Parental/Guardian Consent Form will pop up after you click on Submit. Print, complete and submit the form with your parent's or guardian's signature, otherwise you will not be able to participate in the event.
I am willing to be a team leader, if one is needed.
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