Ability Strong Festival 2022 Volunteer Form, October 8, 2022
The Nacogdoches Mayor's Committee for People with Disabilities (NMCPD)'s annual festival is around the corner and we need your help — we can't do this event without volunteers like you! If you would like to assist, please fill out the following form:

VOLUNTEER FORM: Insurance Waiver and Release of Liability

In consideration of being allowed to participate in any way in NMCPD programs, related events and activities, I and/or the minor participant, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, the undersigned:

1. Agree that prior to participating, I will inspect, or if parent and/or legal guardian, I will instruct the minor participant to inspect the facilities and equipment to be used, and if I believe to the best of my ability that anything is unsafe, I and/or the minor participant will immediately advise NMCPD of such condition(s) and refuse to participate.

2. Acknowledge and fully understand that I and/or the minor participant, will be engaging in activities that involve risk of serious injury including: permanent disability and death and severe economic losses which might result only from my own actions, inactions or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be other risks not known to me or not reasonably foreseeable at this time.

3. Assume all forgoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.

4. Release, waive, discharge and covenant not to sue NMCPD its affiliate clubs, their representative administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs, and if applicable, owners and lessors of premises used to conduct the event, all of which are hereinafter referred to as “releasee”, from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by negligence of the release or otherwise.

5. I release the use of my image, at this event, for use in news or promotional items.
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I/we have read the above waiver and release, understand that I/we have waived the rights mentioned above. *
First name:
Last name:
Are you 18 years or older?
 *
If no/other to the question above, please provide the name of the parent or guardian.
This is to certify that I, as parent/guardian with legal responsibility for this volunteer, do consent and agree to his/her release as provided above of the Releases, and for myself, my heirs, assigns and next of kin. I release and agree to indemnify and hold harmless the releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
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Street Address:
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City:
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State:
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Zip code:
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Phone number:
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Email address:  *
Organization, if applicable:
Do you need volunteer hours for this event?
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The festival is from 12 pm to 4 pm, but we will need help with setup and take down. What time(s) are you available? (Check all that apply.)
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