Volunteer Coach Form
City of Millbrae Recreation Department
State / Province / Region
Postal / Zip Code
Emergency Contact Name
Emergency Contact Phone
Please select the sport you are most interested in volunteering for. You may add additional selection on the comment section.
Girls Volleyball (Taylor)
Girls Volleyball (Elementary)
Boys Volleyball (Taylor)
Cross Country (Taylor)
Girls Basketball (Taylor)
Girls Basketball (Elementary)
Boys Basketball (Taylor)
Boys Basketball (Elementary)
Elementary Flag Football
Taylor Flag Football
Track and Field (Taylor)
AGREEMENT FOR UNCOMPENSATED SERVICES
I hereby volunteer my services to the City of Millbrae. I agree to abide by all relevant City policies and procedures, including but not limited to the Anti-Harassment Policy, and to perform the volunteer services in a safe, responsible manner in accordance with the descriptions of service.
I understand that this Agreement shall not in any way constitute nor create an employer/employee relationship with the City and me. Teh City shall not be responsible for, nor liable for, not shall I be eligible to receive, any compensation or benefits as a result of this Agreement except as required by law. I understand that I am covered under the City's workers' compensation insurance.
I understand that: (Please check each box)
I am not to appear for volunter service under the influence of any illegal drugs or alcohol. I agree to inform my supervisor at the beginning of my shift if taking over-the-counter or prescription medications which may impair my ability to perform.
I will abide by all City policies regarding personal conduct while performing volunteer services.
I agree not to go beyond the scope of volunteer work agreed to without authorization.
I am to be trained on any activity that I am unfamiliar with, learn the corresponding policies, and it is my resonsbility to understand completley or ask questions until I feel confident to perform them.
Depending on the scope of volunteer work, the following policies may apply: driving, safety procedures, computer operation, dress code, confidentiality, workplace violence prevention, and drug-free workplace
I understand that I am to report any on-the-job injury or illness, no matter how minor, to my supervisor. I authorize emergency medical service should it become necessary.
I grant full permission to use my photographs, videotapes, motion pictures or recordings for publicity purposes by the City.
I understand that either the City or I may terminate this agreement at any time without cause and that I am volunteering my service at will and may be asked to discontinue such without prior notice or reason.
The undersigned hereby releases from liability and indemnifies and holds harmless the City of Millbrae, and any of its employees or agents representing or related to the City of Millbrae. This release is for any and all liability for personal injuries (including death) and property losses or damages occasioned by, or in connection with any activity or accommodations related to City activities. By entering my name below, I further agree to abide by all the rules and regulations promulgated by the City of Millbrae.