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2024 Lindsay Milk Run Volunteer Application Form

Please note: If volunteer is under the age of 18, a parent or legal guardian will be required to sign a waiver prior to participation.

Also, volunteers under the age of 14 will require an adult to accompany them on race day.

Are you under the age of 14?
 
Will you have your own mode of transportation on Race Day (Sunday July 21) to transport you between 7am and 9:30am to a location along the route if required?
 
Do you have access to a cellphone that you could use on race day to communicate with event staff via text or voice?
 
Are you available during the hours of 6am and 11:30am on Sunday July 21?
 
Are you currently CPR trained and able to use an AED unit?
 
Please indicate which of the following duties you would be interested in volunteering for: (select all that apply)
 
Will you require sign off acknowleding your volunteer hours contribution?
 

2024 Volunteer Release of Liability and Acknowledgement of Risk Agreement

All volunteers must complete a Volunteer Release of Liability and Acknowledgement of Risk Agreement prior to participating.

By signing this document, you will waive certain legal rights, including the right to sue.  PLEASE READ CAREFULLY

I understand that as a volunteer I am responsible while on duty for representing the City of Kawartha Lakes and will conduct myself in an appropriate manner while doing so.

Release of Liability

In consideration of the acceptance of my volunteer application and the permission to participate as a volunteer at the Lindsay 5k/10k Milk Run event, I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, voluntarily agree to  RELEASE, WAIVE AND FOREVER DISCHARGE the Corporation of the City of Kawartha Lakes (including its members of council, employees, volunteers and other agents) as well as all other associations, sanctioning bodies and sponsoring companies and their respective agents, officials, servants, contractors and representatives from and against any and all claims, actions, damages, costs, expenses, losses and liabilities, in respect of any damage or injury sustained by myself or any loss or damage to personal property howsoever caused, resulting or in any way connected to my volunteer duties or participation as a volunteer.

Acknowledgement of Risk Agreement  

I understand and recognize that my participation as a volunteer at the Lindsay 5k/10k Milk Run event may involve certain elements of risk or the chance of an accident and I HEREBY KNOWLINGLY AND FREELY ASSUME ANY SUCH RISKS and PERSONALLY UNDERTAKE to act in a responsible and safe manner at all times. I warrant that I am physically fit and sufficiently trained to participate as a volunteer at the Lindsay 5k/10k Milk Run event. If I do not feel I am capable of performing the assigned activity, I assume the responsibility of informing whomever is designated as the activity supervisor.

Media Release – Photography/Videography

I hereby grant full permission to any and all of the foregoing to use any photography, video tapes, motion pictures, recordings or other record of this event and my image for public relations, promotional purposes and fundraising.

Understand of Compensation

I further understand that my volunteer duties will be rendered without payment for same, and I will not be entitled to any benefits normally provided by the Corporation of the City of Kawartha Lakes or other associations, sanctioning bodies and sponsoring companies, including those provided by the Workplace Safety and Insurance Board of Ontario (“WSIB”).  I confirm that I am responsible for my own medical, disability or health insurance coverage.

I ACKNOWLEGE HAVING READ THIS RELEASE OF LIABILITY and ACKNOWLEDGEMENT OF RISK AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS TERMS.

Please note: If under the age of 18, this waiver must be completed by a Parent or Legal Guardian in order to participate.

Is the Volunteer age 18 or older?
 

Volunteer Emergency Contact:

Person to contact in case of emergency during volunteer duties.



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