BAYOU PRESERVATION ASSOCIATION

NEIGHBORHOOD CLEANUP VOLUNTEER PROGRAM

 

 

VOLUNTEER REGISTRATION

 

 

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     Name

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     Address

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     City/State                                                                                                                                              Zip

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     Home phone                                                         Work Phone                                                          E-mail

 

ACKNOWLEDGEMENT, WAIVER AND RELEASE

 

This form must be signed by each volunteer who will participate (Participant) in or otherwise be involved with the Bayou Preservation Association Neighborhood Cleanup Volunteer Program (Program).  Volunteers under age 18 must have this form signed by a parent or legal guardian.

 

I ACKNOWLEDGE and UNDERSTAND that I am volunteering my services to the Program gratuitously, without any express or implied promise by the City or County to compensate me for my services, and I ACKNOWLEDGE and UNDERSTAND that I am not entitled to, and will not receive, remuneration of any kind, including, but not limited to, salary or reimbursement for my transportation, parking, travel, or any other expenses whatsoever which may be incidental to my services as a volunteer for the Program.

 

I ACKNOWLEDGE and UNDERSTAND that I will be participating in the Program at my own risk.  I affirm that I am physically fit and prepared to perform services in the Program.  I will not create an unsafe situation for other individuals, or myself, nor will I use any tool or engage in any task with which I am not completely comfortable. I will abide by all applicable federal, state and local laws, as well as the rules and directions of the Program coordinators. If I see any situation that I feel is unsafe, I will call it to the attention of a safety coordinator.

 

IN CONSIDERATION OF PARTICIPANT BEING PERMITTED TO PARTICIPATE AND AS A CONDITION TO BEING ALLOWED TO PARTICIPATE IN THE PROGRAM, I, THE UNDERSIGNED, FOR AND ON BEHALF OF MYSELF, MY MINOR CHILD (IF APPLICABLE), MY HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS, HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE BAYOU PRESERVATION ASSOCIATION, THE CITY OF HOUSTON AND HARRIS COUNTY, TEXAS, TOGETHER WITH ITS/THEIR FORMER AND PRESENT ELECTED AND APPOINTED OFFICIALS, DIRECTORS, LEGAL REPRESENTATIVES, AGENTS, SERVANTS, EMPLOYEES (IN BOTH THEIR PUBLIC AND PRIVATE CAPACITIES), VOLUNTEERS, SUCCESSORS, ASSIGNS, AND ALL AFFILIATED PERSONS AND ENTITIES (HEREINAFTER COLLECTIVELY CITY AND COUNTY) OF, FROM AND AGAINST ANY AND ALL LIABILITIES OF EVERY KIND, CLAIMS, CAUSES OF ACTION, WHETHER AT LAW OR IN EQUITY, IN CONTRACT OR TORT, UNDER STATUTORY OR COMMON LAW OR PURSUANT TO THE TEXAS OR UNITED STATES CONSTITUTION(S) (INCLUDING ALL EXPENSES OF LITIGATION, COSTS, AND ATTORNEYS’ FEES), KNOWN AND UNKNOWN LOSSES, JUDGMENTS, FINES, DEMANDS, DAMAGES, LOSS OF USE OR SERVICES, OR INJURIES TO REAL AND/OR PERSONAL PROPERTY AND/OR PERSONS (INCLUDING DEATH) (COLLECTIVELY CLAIMS), CAUSED BY, ARISING OUT OF, TOUCHING UPON OR IN ANY WAY RELATING TO THE PROGRAM AND/OR THE PRESENCE, MALFUNCTION, MAINTENANCE, ADDITION, SUBSTITUTION, USE OR CONDITION OF ANY TANGIBLE PERSONAL OR REAL PROPERTY OWNED, LEASED, OPERATED, OR UTILIZED BY THE CITY AND COUNTY IN CONNECTION WITH THE PROGRAM EVEN IF THE CLAIM IS THE RESULT OF THE ACTUAL OR ALLEGED SOLE NEGLIGENCE OF THE CITY OR COUNTY AND/OR THE RESULT OF THE ACTUAL OR ALLEGED GROSS NEGLIGENCE OF THE CITY OR COUNTY, AND/OR THE ACTUAL OR ALLEGED JOINT OR CONCURRENT NEGLIGENCE OF THE CITY OR COUNTY AND ANY OTHER PERSON OR ENTITY, AND/OR THE ACTUAL OR ALLEGED STRICT, STATUTORY OR CONSTITUTIONAL LIABILITY OF THE CITY OR COUNTY.

 

Finally, I hereby grant the CITY AND COUNTY full and complete permission to use in legitimate promotions of the Program, video shots and quotations from me.  THANK YOU FOR VOLUNTEERING!

 

 

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Signature of Participant/Parent or Legal Guardian of Participant                     Printed name of Participant                                   Date

 

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Printed Name of Parent or Legal Guardian (if signing on behalf of a Participant under age 18)