CBC Volunteer Work Day Registration Form

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Phone Number* This field is required.
Area Code
Phone Number
4
How would you like to be involved?* This field is required.
Spreading Woodchips/Mulching
Clearing Pathways
Weeding
Organizing/Program Area Setup
Repairs/DIY Projects
Other
5
Will family or friends be joining you?If yes, please let us know the names of your family/friends volunteering with you. (please note: if under 14, they must be accomopanied by an adult)
Huge
Large
Normal
Small
Ok
Ok
6
Volunteer Waiver / Release* This field is required.We are most grateful for your time and commitment to helping us with our site and programs. Thanks to volunteers we accomplish a lot more and improve the campus to benefit all camp participants and generations to come. Camp Beech Cliff MDI strives to have all work conducted safely, whether by paid staff, contractors, or volunteers. By signing this statement, you acknowledge that you are aware that there is an element of risk inherent in all activities, particularly in working with or around any machinery such as power tools, tractors, chippers and the like. For the safety of our volunteers, we ask that you only handle equipment which you know how to operate competently and safely, and you will take personal responsibility for your own actions with that equipment.I understand that my participation in volunteering can expose me to danger both from unknown and unanticipated risks. Acknowledging that such risks exist, I hereby waive, release, absolve, indemnify and agree to hold harmless Camp Beech Cliff and Camp Beech Cliff MDI, their respective directors, officers, agents, volunteers and employees, from any and all claims or liability for personal injury or damage I may suffer while participating in camp activities. I specifically agree to release and hereby release Camp Beech Cliff and Camp Beech Cliff MDI and its directors, officers, agents, volunteers and employees from any negligence of the camp. Any legal action must be in the State of Maine statues.
7
Waiver/Release Signature* This field is required.Please acknowledge acceptance of waivers and releases by entering name below.
If under age 18, this must be 'signed' by a parent or guardian.
8
Photo ReleaseFor good and valuable consideration, I hereby consent to and authorize the reproduction, publication, and use by Camp Beech Cliff and their successors and assigns, for advertising, commercial, and promotional use and any other purpose the photo, picture, or likeness of myself and/or my child(ren).
9
Any Special CommentsPlease let us know if you have preferences in work projects or limitations that we should take into consideration.
Should be Empty: