DTSL Volunteer Application Form

Name

First NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background

Skip if not applicable
School/College
Occupation

Skip if not applicable
Job Title
Field or Industry
In which roles would you like to volunteer?
Do you have any volunteering experience? If yes, please describe.
Select your available days

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
From

Hour Minutes

AM/PM Option
To

Hour Minutes

AM/PM Option
Additional notes about your schedule
READ BEFORE SIGNING

Dennis Tennis Serving Love Inc. may take pictures/video of the program participants/volunteers during programs and activities throughout the year. I authorize this release based on the following conditions:
- These records become the property of Dennis Tennis Serving Love Inc. or its representatives.
- The parent/legal guardian and the program participant/volunteer do release to Dennis Tennis Serving Love Inc. any right, title and/or interest of any kind they may have in the records produced.
- These records may be used for promotional, publicity or teaching purposes.
In consideration of being allowed to participate in any way in Dennis Tennis Serving Love athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
1. The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (insert legal name of sports organization) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
Date*

MonthDayYear
Date
Signature*

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Educational Background

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