SIGNATURE IS REQUIRED
To the best of my knowledge, the information herein is true and complete. I understand that falsification of this application is grounds for dismissal as a volunteer. Further, I, or my parent/legal guardian, give permission for an authorized representative of the City to conduct a national background check in accordance with RCW 43.43.830-839 and to inquire of individuals/references about my ability to perform all aspects of the volunteer position for which I am being considered and I, or my parent/legal guardian, release the City of Burlington and those individuals/institutions that provide information from any liability that may arise from the provision of this information.
As a volunteer for the City of Burlington, or the parent/legal guardian of a volunteer, I am fully aware that the work associated with being a City Volunteer involves certain risks of physical injury or death. By signing this agreement, I also acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I or my child or children may be exposed to or infected by COVID-19 by participating in volunteer activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 while performing volunteer activities may result from the actions, omissions, or negligence of myself and others, including but not limited to City employees, volunteers, and program participants and their families.
Being fully informed as to these risks and in consideration of being allowed to participate in the City's Volunteer Program, I hereby assume all risk of injury, damage and harm to myself (if 18 years old or older), or as the parent/legal guardian of a minor child, arising from such activities or use of City facilities. I also hereby individually and on behalf of my heirs, executors and assignees, release and hold harmless the City of Burlington, its officials, employees, volunteers and agents and waive any right of recovery that I might have to bring a claim or a lawsuit against them for any personal injury, death or other consequences occurring to me, or my minor child, arising out of the volunteer activities.