VOLUNTEER FORM AND WAIVER FOR UNDERAGE VOLUNTEERS
AMUSE AT FOUNTAIN VALLEY SUMMER FESTIVAL
I AM AN
Individual
Organization
Name
*
First Name
Last Name
Birthday
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Facebook
For contact purposes only
Instagram
For contact purposes only
Email Address
*
We will send volunteer details in the email address you will provide.
Phone Number
*
Please enter a valid phone number.
Would you like to receive our newsletters?
*
Yes, I'd be glad to learn more about Neurodivergence and first aid assistance.
Yes, but only about volunteer opportunities.
No, thank you.
Please explain briefly any experience with Autism or special needs.
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Explain any volunteer experience.
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Please explain brief description of how you feel you can best assist; with kids, with registration set-up, break-down, help with transportation, or if you are open to any task:
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What dates and times are you available?
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PART 02: Volunteer Liability Waiver and Agreement
This part explains possible risks of volunteering and includes liability waivers, consents, and other legal agreements. Please put a check (✔) if you agree, please note that all boxes needs a check (✔) to consider this volunteer form completed.
In return for being allowed to participate in AMUSE Foundation's (AMUSE4AUTISM) volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) hereby grants to AMUSE Foundation's (AMUSE4AUTISM), and each of its subsidiaries, affiliates, agents, advertising or promotional agencies, and partners, and all such entities’ officers, directors, agents, employees, respective successors and assigns (collectively, “Authorized Parties”), the absolute and irrevocable right and permission to use, publish, broadcast and/or copyright the use of Volunteer’s name, address, voice, photograph and/or likeness, caricature, and personal information, in its current form or as retouched, digitized, cropped, altered, distorted or modified in any way, in any and all advertising, promotional, or other materials based upon or derived from the Volunteer Activities in any manner, in any media whatsoever for any and all purposes, including by way of example but without limitation advertising, promoting or publicizing products and services throughout the universe, in perpetuity, in any and all media now known or hereafter devised (including without limitation on the Internet), without additional compensation.I further agree that anything derived therefrom will be owned solely by the Authorized Parties. I shall not authorize the use of any print, negative or other copy thereof by anyone other than the Authorized Parties. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.
*
Yes, I agree.
I understand and agree that AMUSE Foundation (AMUSE4AUTISM), its officers, and fellow volunteers, are not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation. I also agree to indemnify and hold harmless AMUSE Foundation (AMUSE4AUTISM) for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I also acknowledge that AMUSE Foundation (AMUSE4AUTISM) has not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer (if Volunteer is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract that grants certain rights to and eliminates the liability of AMUSE Foundation (AMUSE4AUTISM).
*
Yes, I agree.
In return for being allowed to participate in AMUSE Foundation's (AMUSE4AUTISM) volunteering activities and all related activities, including any activities accidental to such participation (Volunteer Activities), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) releases and agrees not to sue AMUSE Foundation (AMUSE4AUTISM) or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the Volunteer Activities wherever, whenever, or however the same may occur.
*
Yes, I agree.
I understand and agree that AMUSE Foundation (AMUSE4AUTISM), its officers, and fellow volunteers, are not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise. I understand that participation in Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation. I also agree to indemnify and hold harmless AMUSE Foundation (AMUSE4AUTISM) for all claims arising out of my participation in the Volunteer Activities. I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect. I also acknowledge that AMUSE Foundation (AMUSE4AUTISM) has not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer (if Volunteer is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors and assigns. I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities. I also understand that this document is a contract that grants certain rights to and eliminates the liability of AMUSE Foundation (AMUSE4AUTISM).
*
Yes, I agree.
PHOTO CONSENT: Please indicate if you prefer or not to be on camera
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Yes, I can be on camera.
No, I prefer not to be on camera.
Do you agree to everything above?
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Yes, I agree.
Name of Parent/Legal Guardian Signing this Waiver:
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Contact number of Parent/Legal Guardian Signing this Waiver:
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Name of Volunteer Participating:
*
I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.
*
Submit
Should be Empty: