Mayor's Greening Initiative Volunteer Registration

Name*

First Last

Phone*

cell phone preferred

Email*

Enter Email Confirm Email

Would you like to join our newsletter?

Would you like updates for this event?

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company, Organization, or Group Name

Are you over the age of 18?*

Volunteers under the age of 18 must be accompanied by a parent or legal guardian during the entire length of the event

Parent and/or Guardian Name

First Last

Are you pursuing your Citizen Forester Certification?

Emergency Contact Name*

First Last

Relationship*

Emergency Phone*

Do you have any allergies (food or medicine) or special medical conditions? If so, please explain?*

Please list any special mobility accomodations necessary for your enjoyment:

Release, Waiver of Liability and Assumption of Risk*

By checking this box this Registration and Emergency Medical Authorization Form (the “Registration Form”), the undersigned (the “Participant”) hereby releases and discharges Friends of Grand Rapids Parks (“FGRP”) and its officers, directors, employees, contractors, agents and any other related parties (“Representatives”) from any and all actions, claims, and/or demands for damages, wrongful death, or personal injury that the Participant now has or may have in the future arising out of an injury or loss sustained as a result of participation in FGRP activities or events. Furthermore, the Participant agrees that the Participant and his/her assignees, heirs, guardians, and/or legal representatives shall not make a claim against or bring suit against FGRP or its Representatives for any injury or damage resulting from the acts of FGRP and/or its Representatives, however such acts are caused and whether such acts are active or passive.

Medical Release and Waiver*

The Participant hereby authorizes FGRP and its Representatives to take whatever actions may be necessary to obtain emergency medical care in the event such care is warranted. These actions may include, but are not limited to, the following: (1) attempting to contact the Participant’s relative, parent, guardian or other emergency contact; and (2) calling 911 for emergency assistance and allowing emergency personnel to transport the Participant by ambulance or otherwise to a hospital as recommended by such emergency personnel. The Participant understands that the Participant shall be solely responsible for any and all medical costs incurred as a result of a medical emergency and subsequent treatment.

Photo Release*

The Participant hereby grants FGRP the right to use the Participant’s image and/or likeness for publication and promotional purposes. The Participant agrees that FGRP may use the Participant’s image and likeness in any form and in any forum, including, without limitation, print, video, and/or other analog or digital form via the internet, television, or other promotional or display medium. The Participant further agrees that any uses described may be made without additional compensation or consideration. The Participant grants FGRP the right to crop or treat the Participant’s image and/or likeness in its sole discretion and agrees that FGRP may choose to use such image and likeness now or at a later date. The Participant hereby waives any right to inspect or approve any finished work that includes the Participant’s image or likeness.

*

By checking this box, the Participant acknowledges that the Participant has carefully read this Registration Form and fully understands and consents to its contents. The Participant also acknowledges that the Participant signs this form of its own free will.

Would you like to purchase a Mayor's Greening Initiative t-shirt?*

Mayor's Greening Initiative T-Shirt

Price: $12.00 Quantity:

Please select size(s)

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Mayor’s Greening Initiative Volunteer Registration