Volunteer Registration Waiver 4th Annual Earth Day Festival

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

Saturday, April 21, 2012

 

Print Name:_______________________________________________________

Address____________________________________City___________________

State________Zip_______Phone_________________Cell __________________

Email Address______________________________________________________

Available to work:  Friday April 20, 2012

      _____9:00 AM to Noon    _____Noon to 4:00 PM    _____3:00 PM to 6:00 PM

Available to work:  Saturday April 21, 2012

      _____6:00 AM to 9:00 AM    ____8:00 AM to 11:00 PM  _____10:00 AM to 1:00 PM

     _____12:00 PM to 3:00 PM  _____2:00 PM to 5:00 PM  _____4:00 PM to 7:00 PM

If I register to volunteer prior to April 13, 2012  I would like a Volunteer T-Shirt in size:

       __S  __M  __L  __XL  __XXL   __XXXL  ___XXXXL

Do you have a condition that might affect your performance in a volunteer assignment? __Yes  __No   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 2012 Texoma 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:

    

903-551-0563 home     940-367-3291 cell