We ask for this number in case of an emergency or for contacting during the event if acting as a site coordinator.

Do you have any allergies that we should know about that would impact your volunteer placement?  If none, please type none.

Agreement for Assumption of Risk, Indemnification, Release, and Consent for Emergency Treatment. I desire to participate voluntarily in Hands on Earth Day (sponsored by or at) the University of Wisconsin Oshkosh. I UNDERSTAND THAT I AM BEING ASKED TO READ EACH OF THE FOLLOWING PARAGRAPHS CAREFULLY. I UNDERSTAND THAT IF I WISH TO DISCUSS ANY OF THE TERMS CONTAINED IN THIS AGREEMENT, I MAY CONTACT Michelle Bogden-Muetzel AT TELEPHONE NUMBER  (920) 424-1308, or EMAIL bogdenmm@uwosh.edu. Assumption of Risks: I understand that participating in the activities associated with this event, by their very nature, include certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries, illnesses, and damage to my personal property. These activities may involve quick movement, strenuous exertions of strength using various muscle groups, changing direction of movement, and general sustained physical activity, which may place stress on my cardiovascular and musculoskeletal systems. These activities happen in a close physical space with other people which increases the risk of injury from collisions and exposure to infectious diseases. The specific health risks vary from one activity to another, but in each activity the risks range from: 1) mild illness and injuries, such as strains, rashes, bruises, cuts, or concussion, to 2) severe illness and injuries, such as fractures, crush injuries, or burns, to 3) catastrophic illness and injuries which may lead to hospitalization, paralysis, and death. I understand that the University has advised me to seek the advice of my physician before participating in these activities. I acknowledge that I have been advised to have health and accident insurance in effect and that no such coverage is provided for me by the University, the Board of Regents of the University of Wisconsin System, or the State of Wisconsin (collectively, the “Releasees”). I know, understand, and appreciate the risks that are inherent to the above-listed programs and activities. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.BY CHECKING THIS BOX I AGREE TO ALL THE TERMS ABOVE. IF I DO NOT AGREE, I UNDERSTAND I WILL NOT PARTICIPATE IN HANDS ON OSHKOSH.