Volunteer Registration Waiver 2nd Annual Earth Day Festival

Sherman Municipal Grounds, 405 N. Rusk, Sherman TX 75090

Saturday, April 24, 2010

9:00 a.m. to 5:00 p.m.

Print Name:_______________________________________________________

Address____________________________________City___________________

State________Zip_______Phone_________________Cell __________________

Email Address______________________________________________________

Available to work:  Friday April 23, 2010

__2:00pm  __3:00pm  __4:00pm  __5:00pm  ___6:00pm  ___7:00pm  __8:00pm

Available to work:  Saturday April 24, 2010

__6:00am  __7:00am  __8:00am  __9:00am  __10:00am  __11:00am  __12:00noon

__1:00pm  __2:00pm  __3:00pm  __4:00pm  ___5:00pm  ___6:00pm  __7:00pm

If I register to volunteer prior to April 7th, 2010 I would like a Volunteer T-Shirt in size:        __S  __M  __L  __XL  __XXL

__Yes  __No  Do you have a condition that might affect your performance in a volunteer assignment?  If yes, please explain: ________________________________

List any special skills:________________________________________________

Initial each line below to affirm that:

____ I agree not to consume or use tobacco products on any volunteer assignment.

____ I agree not to consume, use, possess, or be under the influence of any drug or alcohol

         Products on any volunteer work assignment.

____ I grant Earth Day Festival permission to use my likeness, voice, photograph and words in

         any form for promotional activities without payment.

____ I understand that any pattern of conduct that would tend to disrupt, diminish or otherwise

         jeopardize public trust in the Earth Day Festival will result in dismissal.

____ I understand that my volunteer assignment with the Earth Day festival may be terminated

        at any time.

____ I understand my involvement with the Earth Day Festival may include coverage in the  

        media.  I approve the use of my likeness , voice, photograph, words and any other creative

         work without payment or consideration by the media or the Earth Day Festival.

I, ___________________________, agree to indemnify and hold free and harmless the Earth Day Festival sponsors and planners against all manner of loss, damage and liability (including court costs and attorney's fees) arising from any claim made or loss incurred as a result of or in any way arising from, relating to, or connected with 2010 Earth Day Festival in Sherman, Texas.  

_____________________________________________________

Volunteer Signature                                                                                            Date

Please return completed & signed form to:

    Marla Loturco  P.O. Box 703   Whitesboro, TX 76273

For questions please contact:

      Marla Loturco     903-551-0563 home     940-367-3291 cell    marla_ll@suddenlink.net