Pekin Park District - Parkside Garden Volunteer Sign-Up & Waiver

Foundation Parkside Garden

Volunteer Sign-Up & Waiver

Volunteer Information:

This person will receive a confirmation by email upon completion and submission of this online volunteer waiver.

First name *

Last name *

Email *

Mobile *

Address *

City *

Country *

State/Province *

Region *

Zip/Postal code *

Availability

+ Add

0 hours

Special skillset or knowledge related to gardening? *

If none, please enter 'NA'.

Special skillset or knowledge related to gardening?

0/250

Is the volunteer entered above UNDER the age of 18 or subject to guardianship? *

Yes No x Clear

If YES, please enter the legal guardian or parent as the emergency contact who will be signing the waiver on behalf of the volunteer minor.

If NO, please enter any emergency contact below before signing and submitting the waiver.

Emergency Contact (or legal guardian)

Relationship

First name *

Last name *

Mobile

Photo/Video Release Waiver

I agree that photos/videos taken of me during my volunteer work at the Parkside Garden may be used for marketing & promotional materials for either Pekin Park District or the Pekin Park Foundation.

I agree to the photos/videos waiver above.

Electronic Signature & Waiver:*

WAIVER, RELEASE, AND INDEMNITY

I acknowledge that I have agreed to volunteer to participate in a program (the “Program”) offered by Pekin Park District (the “Park District”). By participating in the Program, I expressly agree and acknowledge that I am willingly assuming any risks associated with participation in the Program. I hereby agree to assume the full risk of any damage or injury to person or property which I or any other person may sustain as a result of my participation in the Program. I hereby waive and relinquish all claims which I now have or may subsequently have as a result of my participation in the Program. I do hereby fully release and discharge the Park District and its officers, employees, agents, members and servants from any claims that may arise from my participation in the Program. I further agree to indemnify, defend and hold harmless the Park District and its officers, employees, agents, members and servants from any and all costs, losses, damages and expenses whatsoever (including attorneys fees and costs) that the Park District may incur as a result of my participation in the Program.

I have read and fully understand the above waiver, release and indemnity.

Type your name

Signature style

Electronic Signature & Waiver: Signature pad

A required field has not been filled.

Please accept all conditions.

Connect to fill this form

Please type in your email or mobile number. We will send you a connection code.

Email or mobile

Connection code

Waitlist

Leave us your coordinates. We will contact you when a spot frees up.

Waitlist for

Comment

Please wait...

Membership

Your membership is tied to your email address. If you are using the wrong email, your membership will not be detected. You can try disconnecting and connecting using another email address.

If you need further assistance, please write to info@activitymessenger.com. Please include a screen capture if possible.