Last Name (*)

Invalid Input
First Name

Invalid Input
Gender
MaleFemale
Invalid Input
Address

Invalid Input
City

Invalid Input
Zip

Invalid Input
Phone

Invalid Input
Volunteer's Email Address (*)

Invalid Input
Emergency Contact Name

Invalid Input
Emergency Contact Phone

Invalid Input
We provide volunteer t-shirts at some events. Please provide your shirt size in case you are assigned to an event that requires volunteer shirts.
SmallMediumLargeX-LargeXX-LargeXXX-Large
Invalid Input
Please select the days you are available (*)
Saturday, June 9
Monday, June 11
Tuesday, June 12
Wedensday, June 13
Thursday, June 14
Friday, June 15

Invalid Input
What times are you available each day (*)

Invalid Input
Have you ever been convicted of a felony?
YesNo
Invalid Input
If Yes, Please Explain: All Volunteers will receive a background check

Invalid Input
Do you have any physical or health restrictions? (Type Yes or No) If Yes, Please Specify:

Invalid Input

Verification of Information, Consent to Background
Check, Permission to Use Image, Release and Waiver of Liability

I hereby attest that the above information is true, correct, and complete.  I agree and understand that as a volunteer, ESC, RWKTF and / or its clients are not obligated to provide me any payment or benefit for my services.

I agree to advise ESC and RWKTF in writing of any physical limitations which could affect or be affected by any volunteer activities I assume. I understand it is my responsibility to provide this information and I release ESC, RWKTF and / or its clients from any liability for injuries or illnesses which result from my failure to advise ESC and RWKTF in writing of any such limitations.

I understand that ESC and RWKTF may require a background check and I consent to such and authorize the release of the results of such a check to ESC and RWKTF.

I give permission to have my image/voice/photograph to be used by ESC and RWKTF for promotional and educational purposes. I understand that my image/voice/photo may be used to help illustrate and explain the programs of ESC, RWKTF and its clients.
I understand that any photographs may be used in publications, newsletters, flyers, Power Point presentations, video broadcasts, websites, etc. I also understand that photographs may also be sent to newspapers.

I, the undersigned Volunteer, in exchange for the opportunity to participate as a volunteer on behalf of Entertainment and Sports in the Community, Inc. (“ESC”), and Roddy White Keep the Faith (RWKTF)hereby release and discharge ESC and RWKTF, its employees, volunteers, board members, sponsors, promoters, and/or other agents (the “Releasees”), from all liability to me, my personal representatives, assigns, heirs, and next of kin for any and all claims, demands, actions, causes of actions, suits in equity, liabilities, and judgments of whatsoever kind or nature on account of injuries, loss, death, or other damages which I have or may incur as a result of (1) my participation in, or preparation for, ESC fundraisers, training sessions, meetings, or other ESC and RWKTF events, and/or (2) my presence on or around ESC and RWKTF premises, including travel to or from ESC and RWKTF fundraisers, training sessions, meetings, or other ESC and RWKTF events, whether while volunteering services or otherwise.  I understand that this Release and Waiver of Liability Agreement includes and applies to, but is not limited to, the negligence, action or inaction of ESC and RWKTF and all others within the category of Releasees.
I have carefully read and voluntarily agreed to all terms above, and no oral representations, statements, or inducements apart from this written agreement have been made to me.

PLEASE READ THIS AGREEMENT CAREFULLY. BY CLICKING THE "I AGREE" BUTTON AT THE BOTTOM OF THIS PAGE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS OF THIS AGREEMENT. THIS AGREEMENT IS ENFORCEABLE LIKE ANY WRITTEN NEGOTIATED AGREEMENT SIGNED BY YOU. YOU AGREE THAT ANY OF YOUR AGENTS, REPRESENTATIVES, EMPLOYEES, OR ANY PERSON OR ENTITY ACTING ON YOUR BEHALF SHALL BE BOUND BY, AND SHALL ABIDE BY, THESE TERMS AND CONDITIONS. YOU AGREE THAT YOU ARE BOUND BY THE AGREEMENT WHETHER YOU ARE ACTING ON YOUR OWN BEHALF OR ON BEHALF OF A THIRD PARTY. (*)
Yes
Invalid Input
Submit Form