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Sign up to Volunteer

Volunteers must be a minimum of 14 years of age. If the volunteer is between the ages of 14-17 years of age their responsible guardian must complete this volunteer application.

Please complete an application for each Volunteer.

Volunteer

First name *

Last name *

Email *

Mobile *

Date of birth *

Minimum age 14 years.

Is volunteer between the ages of 14-17? *

Yes No x Clear

If yes, please provide Guardian first and last name. The remainder of the form must be completed by guardian.

Parental/Guardian Consent

I hereby consent that my son/daughter, as named above, participate as a volunteer in the above-referenced activity, and I hereby execute the above Agreement, Waiver, and Release on his/her behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the District (including its officers, employees, volunteers, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or connected in any way with said minor’s participation in said activity.

Emergency Contact

List one (1) Emergency Contact for the named Volunteer.

Relationship

First name *

Last name *

Mobile *

Background *

Has the named volunteer ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more than two years old need not be listed).

Section 5164 of the Public Resources Code of the State of California prohibits the Fair Oaks Recreation and Park District from hiring a volunteer to perform services at any of its parks, playgrounds, or recreational centers used for recreational purposes in a position having supervisory or disciplinary authority over any minor, if the person has been convicted of certain crimes under the California Penal Code. Section 5164 also authorizes Fair Oaks Recreation and Park District to screen any such prospective volunteer for his or her criminal background.

No Yes x Clear

If yes, state the nature of the crime(s), when and where convicted and disposition of the case.

Workers Compensation Insurance

In the event of an injury that required medical care, the named volunteer is covered under Fair Oaks Recreation and Park District's Workers Compensation Insurance.

In the event the volunteer is injured, the volunteer will need to immediately report the injury to a Fair Oaks Recreation and Park District staff member. Volunteer and or guardian of volunteer acknowledges the volunteer is covered under Fair Oaks Recreation & Park District's Workers Compensation Insurance.

I have read and accept *

Photographic Release: I understand that photographs may be taken during this activity and hereby grant the Fair Oaks Recreation & Park District permission to use any such photo(s) for advertising or in promotional materials.

I have read and accept *

Waiver and Release of Liability

I understand and agree that submitting this application form does not automatically register me or my child as a volunteer, and that there may be certain qualifications I or child volunteer must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

In consideration for being permitted by the above District to participate in the above activity(ies), I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I or child volunteer may have, or which may hereafter accrue to me or child volunteer, as a result of participation in said activity(ies). This release is intended to discharge in advance the above District (its officers, employees, and agents) from any and all liability arising out of or connected in any way with my or child volunteers participation in said activity(ies), even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing those risks I hereby assume those risks for myself and child volunteer. It is further agreed that this waiver, release and assumption of risk is to be binding by my heirs and assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of my or my child's death or any injury or property damage that I or my child may sustain while participating in the said activity(ies).

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE DISTRICT AND I AGREE TO IT OF MY OWN FREE WILL.

I have read and accept *

Electronic Signature Agreement*

By checking the "I have read and accept" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

I have read and accept *

Electronic signature *

Please sign your name inside the box

Select your Volunteer Shift *

Please choose one volunteer shift from below.

Shift #1: 8:30am-11:15am (Egg Hunts, Activity Stations, Extra Help)
Shift #2: 11:00am-1:45pm (Egg Hunts, Activity Stations, Extra Help)

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Please accept all conditions.

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Waitlist

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

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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.

4150 Temescal Street, Fair Oaks, CA, 95628, US 916-966-1036

www.forpd.org registration@forpd.org