2023 LYC Volunteer Form

2023 Latino Youth Conference Volunteer Interest Form

May 12, 2023 | 8:00 a.m. - 3:30 p.m. | at Ferris State University in Big Rapids, MI
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number (best number to reach on the day of the conference)
Please select the preferred block of time that you would like to volunteer. The conference welcome, keynote presenter, and college fair are in the morning, and workshop breakouts are in the afternoon.
Volunteers will receive a light breakfast and lunch. Please list any dietary restrictions below:
Are you representing a club, organization, or institution? If so, please list below:
Alsame Volunteer Waiver Release Statement:

I hereby acknowledge and state the following:

I have chosen to volunteer at the Alsame Latino Youth Conference at Ferris State University on May 12, 2023.

I understand that this work entails a risk of physical injury and involves physical labor, light lifting, and other potentially strenuous activity. I am volunteering at my own risk. I assume all risk and responsibility for any damage or injury to my property or any personal injury, which I may sustain while volunteering, and related medical costs and expenses.

I understand that Alsame is not responsible or liable for my personal effects and property and will not provide security for any items. I will hold them harmless if theft or loss results from any source or cause. I further understand that I am to abide by whatever rules and regulations may be in effect during my service.

By submitting this form electronically for myself, my estate, and my heirs, I hereby release and discharge, and agree to defend, indemnify, and forever hold harmless Alsame and its officers, directors, agents, volunteers, servants, and employees, from any and all causes of action arising from or relating to my participation in this project, including any damages including, but not limited to claims for personal injury, sickness or loss of limb or life, even if said claims arise from injuries or illnesses caused by sole negligence or fault of those hereby released.

I grant full permission for organizers to use photographs and/or video of me and/or quotations from me and/or my name, without compensation, in accounts and promotions of this event and/or Alsame in perpetuity and in all forms of media now and forever known.

I may choose to participate in additional activities on multiple or later dates, and this Volunteer Agreement and Release will apply to any Alsame activities in which I participate in the future. I certify that I am 18 years old and plan to volunteer for the Alsame Latino Youth Conference on May 12, 2023 at Ferris State University.
I understand and agree to the above waiver and release.*

I agree
If you have any questions about this form or volunteer responsibilities, please contact Salvador Lopez at lopezs@alsame.org
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2023 Latino Youth Conference Volunteer Interest Form