2011 street games volunteer application
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2011 street games volunteer application

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2011 VOLUNTEER APPLICATION

2011 VOLUNTEER APPLICATION
Street Games™ Presented by the Jon Drummond Achievement Foundation
Saturday, September 17, 2011

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    2011 street games volunteer application 2011 street games volunteer application Document Transcript

    • 2011 VOLUNTEER APPLICATIONPART I.Name ______________________________________________________ Date of Birth _____/_____/_______ Age __________ I certify that I am 18 years of age or older as of 9-17-11.Address _______________________________________________/_________________________/_____ /_________________ Street City State ZipPrimary Contact #: _______________________________________ Alternate Contact #: _______________________________Email___________________________________________________________________________________________________Organization/Company Affiliation (if any):_____________________________________________________________________PART II. TIME PREFERENCE AREA(S) OF INTEREST check all that apply check all that apply Fri., Sept. 16: TBD Set Up (all areas) Sat., Sept. 17: All Day Registration Sat., Sept. 17: 6:00 am – 9:00 am Games Management Sat., Sept. 17: 9:00 am – 12:00 pm Entertainment / Stage Crew Sat., Sept. 17: 12:00pm – 3:00 pm Empowerment Zone Sat., Sept. 17: 3:00 pm – 5:00 pm Security: Stage Security (all areas) Break-down (all areas) Saturday, September 17, 2011 ParkWest Town Center ● 52nd & Jefferson Streets ● Philadelphia, PAPART III.I, (print your full name) _________________________________________ certify that I am offering my services to the JonDrummond Achievement Foundation (JDAF) on a volunteer basis. I understand that I will receive no pay, benefits or otherprivileges of employment of any kind for my services. I further understand that I am not eligible for worker’s compensationbenefits if I am injured or become ill as a result of my volunteer work. I also certify that I have not been promised and have noexpectation that I will receive a paid position as a result of my volunteer work.The undersigned on behalf of themselves and their estate, hereby waives any right of recovery and releases the Jon DrummondAchievement Foundation, their officers, officials, employees and agents, from liability related to or arising from any and allinjury to persons and damage to property during the Street Games event. Undersigned further agrees and undertakes toindemnify, hold harmless and defend the JDAF from and against any and all claims, damages, actions, liability and expensesincluding attorney’s fees and other professional fees in connection with bodily injury including death, personal injury and/ordamage to property arising from or out of the Undersigned’s activities and participation in volunteer services at the aboveStreet Games Event. The Undersigned further acknowledges and agrees that the JDAF does not assume any responsibilitywhatsoever for any property of the Undersigned and the Undersigned shall not hold the JDAF liable for any loss or damage tosame. The undersigned gives their permission to be photographed, videotaped and have their image used in Jon DrummondAchievement Foundation publications.Your Signature _______________________________________________ Today’s Date _____________________