Thank you for participating in or volunteering to help with the St. Ann’s Community Walk on September 14, 2024. Please read, complete, and sign the following form to participate in this event.
PARTICIPANT / VOLUNTEER INFORMATION
Name: {name}
Address: {address}
Cell Phone or email: {Phone} | {Email}
EMERGENCY CONTACT INFORMATION
Name: {emergencyContact}
Relationship to Participant / Volunteer: {relationshipTo} Phone: {emergencyContact49}
PARTICIPANT / VOLUNTEER AGREEMENT
As a participant / volunteer, I release and hold harmless St. Ann’s Community and their successors from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this participant / volunteer event.
I acknowledge that I am fully aware of any and all risks posed by these participant / volunteer activities and that I have no medical condition that prevents me from engaging in them.
I also give permission to be photographed by project partners or the media for use in printed materials, through the internet or through other media outlets.