Volunteer Waiver Form/Single Day Event

For Non-Position of Trust Volunteers Only

Name of Volunteer

full name

Volunteer Contact Information

Email
Phone: format ###-###-####
Address:
Address (if needed):
City:
State:
Zip:

Time of Day Worked

8am-12pm
12pm-3:30pm
all day

Time of Day Worked Comments

if needed

Date Worked

Would you like your name kept on a Volunteer List?

yes
no

If Yes; How long would you like to be kept on a Volunteer List

Terms

I understand that I will not be paid or receive any other remuneration for my services as a volunteer with the City. I understand that if I am injured during the course and scope of my volunteer activities that my personal insurance is primary.: I accept terms

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