Please complete the registration form below to be considered as a volunteer for this event.
You will receive a confirmation email if you are assigned as a volunteer.
Please enter your information into the fields below.
Required fields are marked with *.
Alternate Job Preferences
If you are bringing a group of friends or volunteers
but they are not registering through this system,
please advise how many:
WAIVER FOR VOLUNTEER AND PARENT OR GUARDIAN OF VOLUNTEERS
By filling out this registration online, I agree to serve as a volunteer for the City of Astoria and understand that my participation in this program is at the discretion of the City. All work performed for the City is on an uncompensated, voluntary basis. I understand that I am not included in the City’s worker’s compensation coverage and I am instead covered by a City provided Volunteers Insurance Services Policy through CIMA which will require me to look to my own insurance as primary coverage with the CIMA policy as secondary coverage. I agree to hold harmless the City of Astoria, its agents, employees and all other persons against loss or expense, including attorney’s fees, by the reason of bodily injury, property damage or personal injury arising out of the negligent or intentional conduct of myself. I understand the nature of the volunteer assignment that I am to perform and certify that I have taken all necessary precautions to be certain that I am in proper condition to participate in such activities.
I understand that I may come in contact with personal information about persons served by City departments. I understand that such information is treated as confidential and agree not to share with others, except as directed by a supervisory employee of the City.
I grant full permission to the City for use of any photographs, videotapes or recordings of my volunteer acts for any purpose, including but not limited to recognition, public relations, training or marketing.
THIS PARENTAL ENDORSEMENT MUST BE COMPLETED IF THE PARTICIPANT IS UNDER 18 YEARS OF AGE.
I have read and understand the above VOLUNTEER AGREEMENT and agree to its provisions as they apply to my child, and also agree to be fully bound by them. I certify that my child is physically capable and medically able to participate in these activities. I further assume full responsibility for my child relating to any and all activities covered by this Volunteer Agreement.
WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THIS EVENT AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.
I understand that my consent to these provisions is given in consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant in this event, and in good physical condition. I have been advised that I should seek advice from my physician before undertaking this physical exercise. I have either visited with my physician and received doctor's advice and consent to my exercise program or have waived such advice and consent of my doctor, and except any and all risks.
I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT, AND I HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THIS EVENT AND ANY AFFILIATED INDIVIDUALS OR ENTITIES ASSOCIATED WITH THIS EVENT (THE RELEASEES) FROM ANY LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY PARTICIPATION IN THIS EVENT, INCLUDING PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SAME BE CAUSED BY FALLS, CONTACT WITH PARTICIPANTS, CONDITIONS OF THE COURSE, NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
Please Sign Below
Your electronic signature is the online equivalent of your ink-on-paper signature,
and can be provided by typing your name where indicated.
The electronic signature will signify your understanding, acceptance, and authorization
to accept the conditions of this legal document, including the following statements:
- I have read, have understood, and do accept the agreement above.
- I understand that this is a legal document with effects that I approve and authorize.
- The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
- I am authorized to agree to the terms of this document on behalf of the registrant.
- If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.
You are encouraged to keep a copy of this agreement for your records.
This agreement was generated at 6:33:24 PM EST on 11/15/2019.
Click here to print the agreement.