Chamber and Development Corp of Crawford County
Chamber & Development Council of Crawford County | 18 South Main Street | Denison, Iowa51442
Phone: 712-263-5621 or 263-6622 | Fax: 712-263-4789 | E-Mail: Contact

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2017 Tri City BBQ Fest Volunteer Application 09/11/2017

 

Volunteer Application

 

Fill out online at:  

http://www.tricitybbq.com/volunteer-signup/

 

 Or print and fill out the form below:

 

____ Individual Application ____ Group Application

 

 

 

Name _________________________________ Organization _________________________________

 

 

 

 

 

(If Group, Name of Contact Person) (If Group)

 

 

 

 

 

Email _________________________________________________________________________________

 

 

 

Primary Phone ____________________________ Home Work Cell (please circle one)

 

 

 

Secondary Phone __________________________ Home Work Cell (please circle one)

 

 

 

Emergency Contact ____________________________________________________________________

 

 

 

Relationship ______________________ Emergency Contact Phone _____________________________

 

 

 

____ Under 21 My age is: __________ ____ Over 21

 

 

 

T-Shirt Size: ____Sm ____Med ____Lg ____XL ____2X ____3X ____4X ____5X

 

 

 

 

 

(If a Group please indicate how many of each size)

 

 

 

 

 

Please write what area you would like to work and what time you are willing to be there:

 

 

 

(All volunteers must work four hours total to receive their free shirt. We will do our best to assign you to the

 

 

 

area you’ve requested, but may need to make adjustments based on event needs.)

 

 

 

Set Up/Tear Down Thu __________________ Fri__________________ Sun __________________

 

 

 

Beer Garden Fri __________________ Sat __________________

 

 

 

Merchandise Booth Fri __________________ Sat __________________

 

 

 

Soda Stations Fri __________________ Sat __________________

 

 

 

ID Checking Station Fri __________________ Sat __________________

 

 

 

Parking Fri __________________ Sat __________________

 

 

 

BBQ Entry: Fri __________________ Sat __________________

 

 

 

Kids Zone Fri __________________ Sat __________________

 

 

 

Please print out and mail to (you may also fax or email):

 

 

 

Tri City BBQ Fest

 

 

 

Attn: Blair Weigum

 

 

 

18 S. Main

 

 

 

Denison, IA 51442

 

 

 

Fax: 712.263.4789

 

 

 

Email: bweigum@cdcia.org

 

 

 

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Office Use Only

 

 

 

 

 

 

 

Date Received _______________ ____Volunteer Release of Claims

 

 

 

____Alcohol Waiver

 

 

 

Area Assigned ____________________________ Scheduled Date(s) & Times _________________________

 

 

 

Area Assigned ____________________________ Scheduled Date(s) & Times _________________________

 

 

 

Area Assigned ____________________________ Scheduled Date(s) & Times _________________________

 

 

 

Area Assigned ____________________________ Scheduled Date(s) & Times _________________________

 

 

 

 

 

TRI CITY BBQ FEST VOLUNTEER’S

 

 

 

WAIVER AND RELEASE OF CLAIMS

 

 

 

 

 

 

 

I, _________________________________________, desire to work as an unpaid, non-employee volunteer

 

 

 

for Tri City BBQ Fest, an Iowa nonprofit corporation (the “Organization”), and I do hereby acknowledge and

 

 

 

agree, freely, voluntarily, and without duress, the following:

 

 

 

 

 

I agree that I am not an employee of the Organization and will not represent myself to be an

 

 

 

 

 

 

employee of the Organization.

 

 

 

 

 

I agree to comply with all the policies, rules, and regulations of the Organization. I fully understand

 

 

 

 

 

 

and agree to provide my services to the Organization as a volunteer in a voluntary capacity and that I

 

 

 

will receive no compensation or benefits for services provided.

 

 

 

 

 

I am aware that there may be certain risks involved in providing volunteer services for the

 

 

 

 

 

 

Organization and that those risks may include injury or accident to person or property or other loss.

 

 

 

 

 

I acknowledge that the Organization does not provide health, medical, disability, life, or other

 

 

 

 

 

 

insurance coverage for me, and I am not insured by workers’ compensation insurance while

 

 

 

performing volunteer services for the Organization.

 

 

 

I hereby release and forever discharge and hold harmless the Organization, its successors and assigns, along

 

 

 

with its directors, officers, employees, agents, and representatives, and their heirs, successors, and assigns,

 

 

 

from any and all causes of action, costs, damages, demands, expenses, fees, liabilities, and obligations of

 

 

 

whatever kind or nature, whether in law or in equity, that arise or may hereafter arise from or relating to my

 

 

 

volunteer work for the Organization. I further release and forever discharge the Organization from any claim

 

 

 

whatsoever that arises or may hereafter arise from any first-aid or other medical treatment rendered in

 

 

 

connection with my volunteer activity for the Organization.

 

 

 

I hereby assume the risk of injury or harm, including but not limited to physical injury, illness, death, or

 

 

 

property damage, which may result from my volunteer activities with the Organization.

 

 

 

 

 

TRI CITY BBQ FEST ADVISES AND ENCOURAGES THE VOLUNTEER TO OBTAIN HIS OR HER OWN MEDICAL,

 

 

 

HEALTH, AND DISABILITY INSURANCE COVERAGE.

 

 

 

 

 

 

 

I expressly agree that the foregoing release is intended to be as broad and inclusive as is permitted by law

 

 

 

and that the laws of the State of Iowa shall govern the interpretation, construction, and enforcement of the

 

 

 

terms hereof. In witness whereof, I hereby execute this waiver and release of claims effective as of the date

 

 

 

written below.

 

 

 

____________________ _____________________________________________

 

 

 

DATE VOLUNTEER’S SIGNATURE

 

 

 

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IF THE VOLUNTEER IS UNDER THE AGE OF EIGHTEEN, THE VOLUNTEER’S PARENT OR LEGAL GUARDIAN

 

 

 

GIVES THE FOLLOWING CONSENT: I, the undersigned, certify that I am the parent or legal guardian of the

 

 

 

above-named volunteer, that I have read and understand the foregoing, and that I consent and agree to the

 

 

 

terms stated herein. In the event that an injury or accident occurs to my child or ward while he or she is

 

 

 

volunteering, it shall be my sole responsibility to provide insurance coverage or guarantee of financial

 

 

 

responsibility for medical treatment, property damage, or other loss.

 

 

 

____________________ _____________________________________________

 

 

 

DATE PARENT OR GUARDIAN’S SIGNATURE

 

 

 





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