Volunteer/Waiver Application

First Name *Please fill the required field.

Last Name *Please fill the required field.

Email *Please fill the required field.

Age *Please fill the required field.

Phone *Please fill the required field.

Address *Please fill the required field.

Please fill the required field.

What school do you attend? *Please fill the required field.

County you are located in? *Please fill the required field.

I am over 19 years of age or under 19 parent signed *

Over 19

Under 19

Please fill the required field.

WAIVER, RELEASE OF LIABILITY AND PHOTO RELEASE 1. I agree to the following agreement with F.R.I.E.N.D.S. DOWN SYNDROME SPECIAL NEEDS, a Florida nonprofit, its officers, directors, and volunteers, allowing the undersigned, and the persons identified below, for the sole purpose of participating in all F.R.I.E.N.D.S. activities, events, activities including travel to and from events in connection with such activities. This Waiver, Release of Liability, and Photo Release is intended to be valid and binding with F.R.I.E.N.D.S. permits the undersigned to participate in the Activities at such time. 2. AWARENESS/ASSUMPTION OF RISKS. I am voluntarily participating in the Activities with full knowledge of the risks and dangers involved and agree to accept all risks of injury, death, or damage to myself and/or my personal property. As a participant in the Activities. BY SIGNING BELOW, I AGREE TO ASSUME ALL SUCH RISKS TO THE FULLEST EXTENT PERMITTED BY FLORIDA LAW. 3. I also agree to hold harmless and release F.R.I.E.N.D.S., and its respective officers, directors, employees, managers, members, representatives, assistants, from liability for any and all injuries, damages, or losses that my property may sustain at any time that may accrue from any cause whatsoever, including fire, theft, accidents or injuries, whether or not the property is on or near the Premises (except if such injury or damage is caused by F.R.I.E.N.D.S. gross negligence or wanton and willful misconduct). 4. PHOTO, VIDEO AND AUDIO RELEASE. I understand that as a participant in the Activities, I may be recorded on film, video, or other electronic recording media. I hereby consent to such recording and to the use by F.R.I.E.N.D.S. of any recorded images or other media recordings of my name and likeness for any purpose related to furtherance of the objectives of F.R.I.E.N.D.S. including use in F.R.I.E.N.D.S. media properties such as its newsletters, social media, and websites. By signing I grant FRIENDS permission to copyright and use, reuse, publish, and republish Recordings, without restriction as to changes or alterations, for art, advertising, trade, or any other purpose 5. TERM OF AGREEMENT I acknowledge that this Release will apply to the entire term of my participation in the Activities, starting with the date I participate in the Activities or enter on the Premises, whichever is earlier, even if it pre-dates the date of this Release, and continuing as long as I continue to engage in the Activities or enter on the Premises, and thereafter as is necessary to protect the interests and rights of F.R.I.E.N.D.S. arising herein. *Please fill the required field.

REPRESENTATIONS - I REPRESENT THAT: (Please check each box below, if true and correct) *

I have read this document and understand

I am covered by insurance

I am of sound mind and not suffering from shock or under the influence

I understand that even though I am signing this document I am giving up rights to sue at all times in the future

IN WITNESS WHEREOF, the undersigned has or have caused this Release to be executed as of: *Please fill the required field.

Name/Signiture *Please fill the required field.

Emergency Contact *Please fill the required field.

Relationship *Please fill the required field.

Message

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

3 + 4 = ?

VOLUNTEER APPLICATION