EmailMe Form - 2022 Run 4 The Sea Volunteer Application

Name *

First Last

Date of Birth *

MM / DD / YYYY

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Home Phone

### - ### - ####

Cell Phone

### - ### - ####

Physical Limitations (if any)?

Name of school or organization associated with (if any)?

Adult T-shirt Size

Emergency Contact *

Relationship

Cell Phone *

### - ### - ####

Volunteer Commitment Waiver and Release

Commitment: As a "Run 4 The Sea" volunteer, I am committing to a schedule per my committee chair. I understand that staff and other volunteers depend on me to meet that commitment and to arrive on time and prepared. If I am unable to be present for a particular shift or period of time, I agree to contact the Volunteer Coordinator immediately.

Release: As a "Run 4 The Sea" volunteer, I understand that I am not an employee of the organization and not covered by workers' compensation insurance or other benefits. I agree to accept any and all risks of injury and/or death. Further, I agree to hold harmless and release from liability the Loggerhead Marinelife Center, its directors, officers, and employees in the event of theft, vandalism, injury, loss of life, or personal property. I also give permission for the Loggerhead Marinelife Center to use my photo and/or video in LMC publications and/or on the Center's website.

Please note: There will be a mandatory Volunteer Meeting on Wednesday, June 12 at 6:00 p.m. at LMC.

Signature *

Date *

MM / DD / YYYY

Parent or Gaurdian Signature Required, if Under 18 Years Old.

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