VOLUNTEER CONTACT INFORMATION
How did you hear about this opportunity?
EMERGENCY CONTACT INFORMATION
In the event of an emergency, does Keep Brazos Beautiful have permission to obtain medical services for you?
Do you have any health conditions /limitations, past or present which may be affected by the volunteer service you provide during this event?
If yes, please explain.
What is your shirt size? All shirts are generic adult sizes. Shirts are provided as available and not guaranteed for all events.
The following is a liability, waiver, and release section. Please read the following.
Liability and Wavier
In consideration of my participation with Keep Brazos Beautiful, I hereby release, discharge, and further agree to indemnify and hold harmless Keep Brazos Beautiful (KBB), and partner agencies and their respective agents, employees, officers, directors, contractors, volunteers and successors (hereafter referred to as the Released Parties) from any and all claims, losses, damages, demands, causes of action, suits, and liability of every kind, including without limitation, any claims for loss, damage or destruction of property, or injury (including death), regardless of whether such loss arises in whole or in part from the negligence of the Released Parties, for any loss arising out of, connected to, or resulting from this activity. I have been informed of the details of participation and understand the risks inherent in an activity of this nature and assume liability for those risks. I hereby authorize any or all of the Released Parties to take and use my picture in various publications of Released Parties. I do not wish to approve the finished version(s) of the photographs before they are used by the Released Parties in these publications, nor do I wish to claim any ownership interest in these photographs. I will not consider such use of the photographs as libelous or an invasion of my privacy.
Notification and Authorization to Release Criminal Information
The volunteer position for which I am applying requires me to consent to a criminal background check. This check includes the following:
• Criminal history reference searches for felony and misdemeanor convictions at the county, state and federal levels of every jurisdiction where I currently reside or where I have resided;
• Sex offender registry searches at the county, state and federal levels in every jurisdiction where I currently reside or where I have resided.
I am aware that records of arrest on pending charges and/or convictions may not prohibit me from volunteering. Such information will be used to determine my ability to perform the duties of my position in a manner which is safe for participants and volunteers. By submitting this application, I affirm that the facts set forth in it are true and complete. I also hereby certify that for my group, members, agents, and all volunteers, for myself, my heirs, and executors, waive and release any and all claims for damages that may arise and/or for any type of injuries or losses incurred while participating and/or volunteering in or in conjunction with the above-mentioned event.
Agreement and Signature
I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I agree to fully uphold the policies and mission by Keep Brazos Beautiful. I agree to complete the duties required within the work shift I have been assigned and will notify the appropriate staff person within a reasonable time if I am unable to do so. I agree that Keep Brazos Beautiful has a zero tolerance policy for any use or influence of alcohol, controlled, or illegal substances while on grounds designated for Keep Brazos Beautiful purposes, programs and events and during volunteer performance. I also agree that I will not have any alcohol, controlled, or illegal substances in my possession during my volunteer time with Keep Brazos Beautiful.
Please check ONE of the following:
I certify that I am 18 years or older and have read the liability, waiver, and release section. I certify that I understand and agree to all of the terms in the liability, waiver, and release section.
I certify that I am under the age of 18 and need a parent or legal guardian to read and sign the liability, waiver, and release form. I certify that I have given the correct information to contact my parent or legal guardian in the section below.
PARENT AND/OR LEGAL GUARDIAN INFORMATION (if volunteer is under the age of 18)