Beeper Egg Hunt Volunteer Registration - Wayfinder Family Services

VOLUNTEER INFORMATION

Which event would you like to volunteer for?

Central Valley
Bay Area

Name *

First Last

Email *

Enter Email Confirm Email

Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone *

Date of Birth *

Minimum age to volunteer is 18.

Employer/School

Job Title

Name of Group/School/Club

Please also note if you signed up with another person/other people with whom you would like to be placed.

Health Conditions

• Your health information is always kept private and is held for emergency purposes only. Please list any potentially life-threatening illness, medical condition or allergy that you may have, such as cardiac/heart conditions, diabetes, severe allergies, epilepsy or seizure disorder, bleeding disorders, and/or asthma

Emergency Contact and Phone Number *

o Do you require event materials in an accessible format? If yes please choose one:

Braille
Large Print
Electronic

ADDITIONAL TERMS

Due to the medical fragility of many of the children we serve, please select one option required to volunteer:

Proof of COVID-19 Vaccination
Proof of a negative PCR test for Covid-19 within 72 hours prior to the event

VOLUNTEER GENERAL RELEASE *

In consideration of the acceptance of my participation in the following activity: WAYFINDER’S BEEPER EGG HUNT, I the undersigned, intending to be legally bound, do hereby for myself (including heirs, executors, administrators and assigns) forever waive, release and discharge any and all rights, claims and actions for damages that I may have, or that may hereafter accrue to me against WAYFINDER FAMILY SERVICES, including all of their officers, directors, members and volunteers. I attest and verify that I am physically able to participate in this activity. I further understand that accidents, injuries, and/or exposure to the coronavirus/Covid-19 can arise out of the event; knowing the risks, nevertheless, I hereby agree to ASSUME ALL RISKS OF PERSONAL INJURY, PERMANENT, TEMPORARY, TOTAL OR PARTIAL DISABILITY, DISFIGUREMENT, PARALYSIS AND ANY OTHER LOSSES OR DAMAGE TO PERSON OR PROPERTY OR DEATH, sustained while participating in, attending, preparing for or traveling to and from the above described activity, including the risk of negligence of WAYFINDER FAMILY SERVICES or hidden, latent or obvious defects in the facilities or equipment used. I acknowledge and agree that this is a legally binding agreement.

I have read the Volunteer General Release and am in agreement with its contents.

HOLD HARMLESS *

In consideration of the acceptance of my participation in the following activity: WAYFINDER’S BEEPER EGG HUNT, I agree if any claim for personal injury or wrongful death is commenced against WAYFINDER FAMILY SERVICES, including all of its officers, directors, members and volunteers. I will defend indemnify and hold harmless WAYFINDER FAMILY SERVICES from any and all claims or causes of action for personal injuries, property damage or wrongful death that hereafter accrue, arise out of, result from, or are caused directly or indirectly by my participation in this activity.

I have read the Hold Harmless and am in agreement with its contents.

CONFIDENTIALITY AGREEMENT & PUBLICITY CONSENT *

In the course of volunteering, I may be dealing with confidential information and I agree to keep said information in the strictest confidence. I understand that taking and/or posting photos of any student or family member on social media sites is strictly forbidden. Furthermore, I agree that any contact via social media with students and their families that may occur during my personal time and with the permission of the student and/or parent if a minor, shall be with full knowledge of the Associate Director of Special Events & Volunteer Resources, meet the objectives of the designated plan for students and their families and be approved and be determined by Wayfinder Family Services to be in their best interest. Permission is hereby given to Wayfinder Family Services to use audio, video recordings, photographic and electronically created images for public view, including publications, websites or social media sites. Usage of any images or audio is without compensation to said person or to the undersigned on his/her behalf or individuality.

I have read the Confidentiality Agreement & Publicity Consent and am in agreement with its contents.

MEDIA RELEASE *

Permission is hereby given to WAYFINDER FAMILY SERVICES® to use audio, video recordings, photographic and electronically created images of the camper noted in this application for public view, including publications, websites or social media sites. Usage of any images or audio is without compensation to said person or to the undersigned on his/her behalf, or individuality. On occasion, specific campers are identified for profile stories used in grant applications and reports, publications, websites or social media sites. Permission is hereby given to WAYFINDER FAMILY SERVICES® to publish this camper’s story in grant applications and reports, publications, websites or social media sites, with related quotes, after verbal and/or written approval of that story has been granted by said person or by the undersigned on his/her behalf or individuality.

I have read the release and am in agreement with its contents.

Program Areas

VOLUNTEER INFORMATION

ADDITIONAL TERMS