Spare Parts Volunteer Registration

Hello new volunteer!

Please fill out the following information if you are a new volunteer with Spare Parts or haven't volunteered with us in the last 6 months.

Name*

First NameLast Name

Email*

Note: Your email will be used to send volunteer schedule invitations and shift reminders.

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address: This is optional and would be used only to mail greeting cards or special invitations.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Birth Month

YesNo

Legal Guardian's First and Last Name (if under age of 18)

Legal Guardian's Email (if under age of 18)

example@example.com

Emergency Contact. Name, Relation, and Email or Phone Number.*

Your Emergency Contact named in the previous question. (If the Emergency Contact does not respond in a timely manner we will contact EMS services)Emergency Medical Services (911/EMS) (Your Emergency contact will also be notified if EMS is contacted)

Notes: Any special notes you would like to provide us in advance of volunteering like allergies, special accommodations, etc.

Release of Liability: In return for being allowed to participate in Friends of Spare Parts DBA Spare Parts volunteer activities and all related activities, including any activities incidental to such participation (“VolunteerActivities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age18 (hereafter referred to using “I”, “me”, or “my”) releases and agrees not to sue the Friends of Spare PartsDBA Spare Parts or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates(“Spare Parts”) 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.I understand and agree that Spare Parts is 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 the 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 Spare Parts 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 Spare Parts has not arranged and do 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 which grants certain rights to and eliminates the liability of Spare Parts.*

I agreeLegal guardian agrees

Publicity Release: In return for being allowed to participate in Spare Parts 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 Spare Parts, 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, voice, photograph and/or likeness, and caricature, 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 know nor hereafter devised (including without limitation on the Internet), without additional compensation. I further agree that anything derived therefrom will be owned solely by theAuthorized 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.*

I agreeLegal Guardian agrees

Attachments: If there any additional documents you need to provide please upload them here.