BBN National Night Out 2025 – Vendor Registration Form

BBN National Night Out 2025 – Volunteer Waiver & Consent Form

Please complete this form to confirm your participation in BBN’s East Side National Night Out on August 5, 2025. This waiver ensures we have your emergency contact, understand any special needs, and protect both you and our organization during the event.
Volunteer Info
Contact Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*
Emergency Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
T-Shirt Size*

SMLXLXXL
Waiver & Release of Liability
I understand that participation in the Black Business Network’s East Side National Night Out may involve physical activity, interaction with the public, outdoor exposure, and other potential risks. I hereby release and hold harmless BBN, its staff, partners, volunteers, and affiliates from any liability related to injuries, losses, or damages incurred during my participation. I also authorize the use of any photos or videos taken of me at the event for promotional use.
Media Consent
I give permission for BBN to use photos/videos of me from this event for promotional purposes.*

YesNo
Confirmation & Signature
Terms Agreement*

I have read and agree to the terms above.
Signature*
Date*

MonthDayYear
Date
Parent/Guardian Section

Only include if volunteers under 18 years of age.
Full Name of Parent/Guardian

First NameLast Name
Signature
Date

MonthDayYear
Date
Should be Empty:

BBN National Night Out 2025 – Volunteer Waiver & Consent Form

Volunteer Info

Waiver & Release of Liability

Media Consent

Confirmation & Signature

Parent/Guardian Section