Volunteer Application Form

1
Contact Information* This field is required.
First Name
Last Name
Phone Number
E-mail Address
2
Please tell us in which volunteer roles you are interested in.
Timer
Gate Steward
Scribe
Leash Runner
Bar Setter
Chief Ring Steward
Awards Assistant
Check In/Hospitality
Other
3
Availability and Time Preferences (Please Check All That Are Applicable)
Mornings
Afternoons
Evenings
Full-Time Volunteer!
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
4
Are you competing at Cynosport?
Yes
No
5
If you are involved with us as a volunteer and an emergency arises, whom should we contact?
First and Last Name
Relationship
Please enter emergency contact phone number
6
Electronic Signature* This field is required.I agree to hold harmless the Event Organizers from any claim for loss or injury from the Event as a result of disappearance, theft, death or other act, whether such loss or injury is caused or alleged to be caused for any reason, including negligence. I assume all responsibility and liability for any claims, including legal fees. I give USDAA permission to photograph me or my child for use in any publication, educational or advertising purposes. I release USDAA and its affiliates, representatives, agents and assigns from any claim or cause of action for invasion of the rights of privacy, right of publicity, right of personality or any similar right. I understand that as a volunteer of USDAA, I or my child is not covered under USDAA’s worker compensation or any other insurance policy for any damages or injuries I or many child may sustain during volunteer activities.
First Name
Last Name
7
Submitted On* This field is required.
Date
Year
Month
Day
Should be Empty: