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Volunteer Participation Agreement

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Steps

  1. 1. Step One (current) This section is complete This section is incomplete
  2. 2. Contact Information This section is complete This section is incomplete
  3. 3. Emergency Contact Information This section is complete This section is incomplete
  4. 4. Electronic Signature of the Participant This section is complete This section is incomplete
  5. 5. Electronic Signature of the Parent/Guardian This section is complete This section is incomplete
  6. 6. Office Use Only This section is complete This section is incomplete

  • Step One

    2. VOLUNTEER PARTICIPANT
      AGREEMENT FORM

      VILLAGE OF ROMEOVILLE
    4. Instructions:
      This agreement must be signed by all adult participants and must also be signed by a parent or guardian of any minor seeking to participate in any volunteer activities made available by the village.

    Contact Information

    17. Hours to be applied: *
      Check only one.

    Emergency Contact Information

    Electronic Signature of the Participant

    2. THANK YOU FOR VOLUNTEERING
    4. VILLAGE OF ROMEOVILLE – VOLUNTEER PARTICIPANT AGREEMENT
      NOTE: this agreement must be signed by all adult participants and must also be signed by a parent or guardian of any minor seeking to participate in any volunteer activities made available by the village.

      WARNING OF RISK

      The Village of Romeoville from time to time offers residents the opportunity to assist the Village in the conduct of Village programs, classes, functions or activities by providing uncompensated services in connection therewith (collectively sometimes hereinafter referred to as “Volunteer opportunities”). Despite the implementation of all reasonable precautions by the Village, an unavoidable risk of serious injury or exposure to communicable illness (including but not limited to exposure to COVID-19) will always exist when participating in the work, service, educational or other activities available for Volunteer opportunities. Not all hazards and dangers can be foreseen. Participants and parents/guardians of minor participants must understand that certain risks and hazards will be inherent to participation in Volunteer opportunities, including but not limited to risks and hazards associated with inclement weather, slip and falls, overexertion and fatigue, disregarding safety rules and instructions, collision with stationary objects or other participants, poor skill level or conditioning, carelessness, horseplay, premises defects, inadequate or defective equipment, inadequate supervision or instruction. Accordingly, the Village hereby informs all participants and parents/guardians of minor participants that it is impossible for the Village of Romeoville to guarantee absolute safety for all Volunteer opportunity participants.

      WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK

      I acknowledge and assume the risks of property damage, accidents, injuries (including death), loss of bodily functions, disabilities, medical disorders (including exposure to COVID-19 and other communicable illness), pain and suffering, lost income and medical expenses that arise from participation in any Volunteer opportunity offered by the Village, and my use of any facilities, transportation services, premises and equipment provided in connection therewith by the Village. I further acknowledge that the foregoing risks may arise from my own action or inaction, the actions or inaction of other participants, the conditions under which a Volunteer opportunity is conducted, or from the negligent actions or inaction (including any failure to warn) of Village personnel, contractors or service providers. I also acknowledge that from time to time, the Village of Romeoville may take photographs of me participating in Volunteer opportunities offered by the Village for use and publication in various publications or media, including but not limited to the Village’s website, Village program brochures or materials, and Village or Village informational, promotional or marketing materials, and I hereby expressly grant to the Village of Romeoville and the Village the right to use and publish such photographs as contemplated herein, all without compensation or payment for such use and publication. I also acknowledge and agree that in consideration of being allowed to participate in Volunteer opportunities, I may be required to wear a face mask/covering, to wash/sanitize my hands, to maintain social distancing, to submit to temperature taking, and to comply with all State of Illinois and Village/recreation Department guidelines in effect from time to time that may apply to Volunteer opportunity in which I am participating. In consideration of being allowed to participate in Volunteer opportunities offered by the Village, I hereby release, waive and discharge the Village of Romeoville and its officers, officials, employees, agents, volunteers and contractors (collectively, the “Releasees”) from any and all liability and all claims of any kind whether for personal injury, illness/disease exposure, property damage or death, arising from participation in any Volunteer opportunity offered by the Village, or arising from the use or publication by Releasees of photographs of me participating in Volunteer opportunities offered by the Village, whether or not caused by the negligence of the Releasees or any of them and further covenant that I shall not sue any of the Releasees with respect to any such liability or claims. In the event that I or anyone else nonetheless makes a claim or files suit against Releasees arising out of any of the above-described matters, I will indemnify and hold Releasees harmless of and from any and all damages or judgments and costs of litigation, including attorney fees. The provisions hereof are to be construed as broadly as possible in favor of Releasees, and this Agreement as a whole shall be governed by the laws of the State of Illinois (without reference to the conflicts of laws rules thereof). If any part of this Agreement shall be ruled invalid by a court having jurisdiction, the balance shall be enforced to the maximum possible extent. I am signing this Agreement freely and voluntarily, having read and understood it and with a full opportunity to consider its substance and with the intention of fully and unconditionally assuming the risks and releasing the liabilities as described above in this Agreement.
    7. I hereby acknowledge that: *
    8. By typing your name into this field you authorize the Village of Romeoville to consider this an electronic signature.

      Approval is the sole discretion of the Village of Romeoville

    Electronic Signature of the Parent/Guardian

    2. REQUIRED PARENT/GUARDIAN SIGNATURE FOR MINOR PARTICIPANTS

      I am the parent or legal guardian of "See Participant's Name" , and am voluntarily registering to participate in a Volunteer opportunity made available to him or her by the Village of Romeoville. I have read and reviewed this Agreement, and am voluntarily signing it on behalf of my child/ward , in my capacity as parent and legal guardian. By signing below, I am agreeing on behalf of my child/ward "See Participant's Name" to be bound along with my child/ward by all terms and conditions of this Agreement as set forth above, including but expressly not limited to those terms and conditions pertaining to the taking of photographs of program and activity participants, the use and publication of such photographs and the release of all claims associated therewith.
    5. I hereby acknowledge that *
    6. By typing your name into this field you authorize the Village of Romeoville to consider this an electronic signature.

      Approval is the sole discretion of the Village of Romeoville

    Office Use Only

    4. Leave This Blank:

    7. This field is not part of the form submission.

    * indicates a required field