Furniture Repair Bank volunteer form Logo
  • Thank you for your interest in volunteering with Furniture Repair Bank

    We are building a community of mighty, courageous, and empathic individuals while rescuing furniture from the landfill and helping refugees and low-income community members in need of support. We would love to have you join us!

     

    • YOU DO NOT NEED TO HAVE REPAIR EXPERIENCE, TOOLS, OR WORK SPACE TO BE A PART OF THE PROJECT!
    • COMMITMENT IS FLEXIBLE.
    • VOLUNTEERS AGES 14-17 WILL NEED A PARENT OR GUARDIAN TO SIGN PERMISSION ON THIS FORM.
    • CHILDREN AGES 11-13 ARE WELCOME TO VOLUNTEER WITH THEIR PARENT OR GUARDIAN.

     

    Learn more about the effort at www.repairbank.org

     

    We will contact you as soon as possible! If you have not received an email from us within a few days, please check your spam folder. If you have any immediate questions, email volunteer@repairbank.org 

  • Availability

    Please indicate the days and times you are usually available to volunteer.
  • Accommodation

  • Agreement to Participate, Acknowledgment and Assumption of Risk, and Agreements of Release and Indemnity

  • In consideration of being allowed to participate in this event, organized and conducted by Furniture Repair Bank (hereby known as "FRB"), I, or my minor child (hereby known as “I”), acknowledge and agree as follows: The event in which I will be participating may include exposure to loud and/or sustained noise and physical exertion. These activities can include exposure to the natural elements, which may include heat, and cold, bodies of water such as river, rocks, trees, storms, sun, snow, sleet and rain; exposure to man-made elements and equipment, which may include, cables, platforms, buildings, event equipment, event tents, ladders and other structures, and may also include the use of equipment and/or power tools necessary for the activity; transportation during the event; close personal contact, lifting up to 50 pounds, and dependence on other participants and staff; incidents may result from the actions of other participants and staff; or the failure or improper use of equipment. These risks and hazards are inherent in the activities of the event and the environment in which it is conducted, and they cannot be eliminated without significantly changing the nature of the activities. I understand that these hazards and risks may result in loss or damage to personal property, emotional distress, illness, personal injuries, and, in extreme cases, even death. I represent that I have no known medical or emotional condition which may adversely affect my participation in this event, or which may cause me to be a danger to myself or others. I will communicate to Furniture Repair Bank staff any and all medical conditions or disabilities which I believe should be brought to the attention of FRB. I understand that it is my responsibility, and mine only, to determine my suitability, medical or otherwise, for participation in the event.

    Acknowledgment and Assumption of All Risks

    I acknowledge and assume all risks of the event, its activities and the environment in which it is conducted, whether or not those risks are inherent, whether or not they are described above.

    Agreements of Release and Indemnity

    I agree to defend, indemnify, and hold harmless FRB, its officers, agents, and employees from and against any and all claims for injury or damage arising out of or in any way related to my enrollment, participation in the event, and transportation to and from the event.

    Other 

    • Unless otherwise agreed in writing, any mediation or suit may be conducted or filed only in Washington, and the laws of the State of Washington will apply to any such dispute, excepting only the laws of the State of Washington which may apply the laws of another jurisdiction.
    • I authorize FRB to provide or obtain medical care for me in the event of an incident requiring medical attention, and I further authorize FRB to exchange with any third-party medical caregiver such information regarding my medical history or condition as may be deemed important to either of them.
    • I agree that I will not consume or be under the influence of any chemical substance, including alcohol, during the event. I understand further that the activity and all aspects of it are purely voluntary and I may choose not to participate. I agree that I will follow all safety instructions.
    • Should any part of this agreement be deemed not enforceable by a Court of competent authority, the remainder of the agreement shall nevertheless remain in full force and effect.

     

    By signing this document below, I agree to the following:
    I hereby for myself, on behalf of my successors and assigns, in consideration of being permitted to use tools at this event, agree to release and indemnify and hold harmless Furniture Repair Bank, its officers, agents, and employees from any and all liability, loss, claims, and demands, actions or causes of action for the death or injury to any persons and for any property damage suffered or incurred by any person which arises or may arise or be occasioned in any way from the use of tools I am using during this workshop. I am aware that FRB, its partners, directors, officers, members, authorized volunteers, and employees claim no expertise and make no representation concerning the fitness of any tool for any particular use.
    (Skilled fixers only) If I chose to, I am capable and experienced in using the tools provided at this event, and that during this workshop I will use the tools in a proper and safe manner. I do hereby for myself, on behalf of my successors and assigns, in consideration of being permitted to use provided tools, waive any and all claims against the FRB, its officers, agents, and employees for any injuries or damage of any nature that I may suffer or incur while using the tools that I am using at this repair workshop.

     

  • I, *, hereby  *   and/or voluntarily grant permission to Furniture Repair Bank (FRB), the rights of my image, in video or still, and of the likeness and sound of my voice as recorded on audio or videotape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published, or distributed, and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational or promotional settings within an unrestricted geographic area. I understand that participation in media activities and sharing or disclosure of my image or recordings is a Consent and Release by me of confidential information. I agree to release and hold harmless FRB from any and all liability if I share confidential information or if the media further discloses the results of my participation in media activities. This is a voluntary and informed consent, and it has been explained to me that the Release is to FRB.

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  • Parent or Guardian Information
    Required if applicant is under 18 years old.

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