encourages the participation of volunteers who support our mission. If you agree with our mission , we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.
Street Address Line 2
State / Province
Postal / Zip Code
PLEASE ADD YOUR EMAIL ADDRESS______________________________________________________
Please enter a valid phone number.
Please list any physical limitations.
Phone Number _____________________________________________________________________________________________
Known Food Allergies
____________________________________________________________________________________________________ I assume all risk for any food I or my family might consume at events or while I am performing my duties as a volunteer
YOU MUST ALSO SEND A COPY OF ALL COURT DOCUMENTS YOU RECEIVED
Court or Probation Department Address
Number of Hours Needed
How many community hours do you need_________________________
What date do you need hours completed by?______________________
Special Court Orders
Do you have to write a paper, do anger management or other special orders______________________
What were you ordered to do_____________________________________________________________________________________________________________________________________________________________________________________________________
Release of liability and Photo waiver
As a Ready4ReadingBookClub volunteer, I agree to abide by the policies and procedures and represent Ready4ReadingBookClub in a manner that befits the organization serving the greater High Desert community. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any liability for any accident, injury or health problem arising from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.Volunteer Release and Waiver of Liability FormThis Release and Waiver of Liability (the “release”) executed on (signed by Ready4ReadingBookClub) _____ (date) by _(Signed by Ready4ReadingBookClub representative)_ (“Volunteer”) releases Ready4ReadingBookClub ___, (“Nonprofit”), a nonprofit corporation organized and existing under the laws of the State of CALIFORNIA and each of its directors, officers, employees, and agents. The Volunteer desires to provide volunteer services for Nonprofit and engage in activities related to serving as a volunteer.Volunteer understands that the scope of Volunteer’s relationship with Ready4ReadingBookClub is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer; that Ready4ReadingBookClub will not provide any benefits traditionally associated with employment to Volunteer; and that Volunteer is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Volunteer’s services to Ready4ReadingBookClub1. Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless Ready4ReadingBookCluband its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Nonprofit. I understand and acknowledge that this Release discharges Ready4ReadingBookClub from any liability or claim that I may have against Ready4ReadingBookClub concerning bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Ready4ReadingBookClub or occurring while I am providing volunteer services.2. Insurance: Further I understand that Ready4ReadingBookClub does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of Ready4ReadingBookClub beyond what may be offered freely by Nonprofit in the event of injury or medical expenses incurred by me.3. Medical Treatment: I hereby Release and forever discharge Ready4ReadingBookClub from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with . Ready4ReadingBookClub4. Assumption of Risk: I understand that the services I provide to Ready4ReadingBookClub may include activities that may be hazardous to me including, but not limited to involving inherently dangerous activities. As a volunteer, I hereby expressly assume the risk of injury or harm from these activities and Release Ready4ReadingBookClub from all liability.5. Photographic Release: I grant and convey to Ready4ReadingBookClub all right, title, and interests in any photographs, images, video, or audio recordings of me or my likeness or voice made by Ready4ReadingBookClub in connection with my providing volunteer services to Nonprofit.6. Other: As a volunteer, I expressly agree that this Release is intended to be as broad as permitted by the laws of the State of __CA__ and that this Release shall be governed by and interpreted by the laws of the State of __CA___. I agree that if any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.
Raffle and Food Release
Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless Ready4ReadingBookCluband its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the damages caused by prizes I or my family might win and any damages caused by any food consumed while at events or during my participation as a volunteer. I understand and acknowledge that this Release discharges Ready4ReadingBookClub from any liability or claim that I may have against Ready4ReadingBookClub concerning bodily injury, personal injury, illness, death, or property damage that may result from any prizes won or food I have consumed.
Signature: By signing the e-document, you agree to the release of liability, waiver and are acting on your personal behalf to volunteer with Signature: Ready4ReadingBookClub
Should be Empty: