2022 Florida Elite Volunteer Application and Infect Waiver

FOOTBALL & CHEERLEADING THE FUTURE IS NOWIII

Volunteer Name (First, MI, Last) *

Maiden Name / Other Names Used

Address *

Street Address

Apt

City State / Province

Postal / Zip Code

Date of Birth *

Date

Race *

Cell Phone *

Please enter a valid phone number.

Email *

example@example.com

Drivers' License Number *

Employer *

Work Number

Please enter a valid phone number.

Occupation *

Emergency Contact *

Phone Number *

Please enter a valid phone number.

Read the following carefully before you sign:

Due to the nature of the work involved with the Florida Elite, all prospective volunteers will be subject to a criminal history check. This check is confidential and open to explanations. By signing on the line below, you are both authorizing this background check and confirming that all information listed above are valid and truthful to the best of your knowledge.
I understand the criminal background check will include, but not limited to: sex offenders registries, child abuse registries and criminal history record, to be in compliance with Florida Elite child protection policy and insurance guidelines.
A false statement on any part of your application will be grounds for not selecting you, or for removing you from Florida Elite staff at a later date.

Signature *

Clear

Date *

Date

I, (volunteer’s name), in consideration for being allowed to volunteer/participate on behalf of the

Name of the Team *

organization and related

events and activities, acknowledge, appreciate, and agree that:

1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4. I do hereby release and forever hold harmless the Lake Wales Seahawks organization and Florida Elite Football and Cheer League their officers, officials, agents, employees, and/or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), with respect to any and all illness, disability, death, or loss or damage to person or property, whether arising from the negligence of releasees or otherwise, to the fullest extent permitted by law.

I do hereby certify that I have read and understand the provisions in this waiver/release, including the risks associated with my presence, participation, and personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, I accept these risks and responsibilities. I consent and agree to release and agree to indemnify and forever hold harmless the Releasees for any and all liabilities incident to my presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

Signature *

Clear

Date *

Date