I, the undersigned, being at least eighteen (18) years of age (without parent or guardian consent), wish to volunteer my services to the Virginia Key Beach Park Trust ("VKBPT"), sponsored by the Virginia Key Beach Park Trust, a limited agency and instrumentality of the City of Miami (If applicant is under the age of 18, a legal guardian must co-sign this form In consideration for allowing me to participate in the VKBPT, I hereby agree and release the Virginia Key Beach Park Trust and the City of Miami as follows:
I acknowledge and agree that the nature of the volunteer services to be performed by VKBPT volunteers, and which may be performed by me as a VKBPT volunteer, may involve (a) physical activity (including without limitation work with heavy tools and materials), (b) contact with unidentified and unfamiliar persons, (c) travel to and from various unspecified locations, and (d) other potential risk of injury. Notwithstanding the preceding sentence, I willingly and freely agree to volunteer and hereby assume any and all risk in connection with my volunteer efforts or participation, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation as a VKBPT volunteer or in any VKBPT related project or activity. In addition to the foregoing, I will only participate in VKBPT activities and projects that I am physically capable of participation without risk of injury to myself. I hereby agree and understand that the Trust or City of Miami may exclude me from VKBPT participation if I act inappropriately during any VKBPT project or related activity. 1 recognize that the VKBPT activities may involve physical activity and may cause physical and emotional discomfort. 1 state that I am free from any known heart, or other serious health problems that could prevent me from participating in any of the activities associated with this program. I further state that I am sufficiently physically fitto participate in the activities of this program.
I certify that I have medical insurance to cover the cost of any emergency or other medical care that I may receive for an illness or injury. I certify that if I do not have medical insurance, I will be personally responsible for the cost of any emergency or other medical care that I receive. I agree to release the VKBPT and the City of Miami, its agencies, departments, officers, employees, agents and all sponsors and/or officials and staff of any said entity or person, their representatives, agents, affiliates, directors, servants, volunteers and employees from the cost of any medical care that I receive while participating in this program or as a result of it.
I further agree to remise, release, acquit, satisfy; waive, indemnify, hold harmless, exonerate and forever discharge the City of Miami, its agencies, departments, officers, employees, agents (entity and persons as appropriate) and all sponsors and/or officials and staff of any said entity or person, their representatives, agents, affiliates, directors, servants, volunteers and employees from any and all liability, negligence, demands, accounts, warranties, sums of money, torts, expenses, including attorney's fees, suits, or causes of action or rights of action, whether at law or in equity, associated with injuries or damages from any claim by me, my family, estate, heirs or assigns from or in any way connected with the aforementioned activities.
I understand that I will not be paid for my services as a VKBPT volunteer.
I further irrevocably grant to the Trust and City of Miami, its assigns and successors, my consent and full right to: use my name, photograph, likeness, image, voice and biography in any and all media, publications, advertising, and publicity, in connection with my participation in the VKBPT and any VKBPT related activity or project. This release shall inure to the benefit of the Trust and City of Miami and its directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates. This release shall be governed by the laws of the State of Florida.