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Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
First Name *
Last Name *
Street Address *
City *
State *
Zip Code
Mobile Phone *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Northern Nevada Dream Center volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Date of Birth

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Emergency Contact (Name and Phone Number)

Waiver


Who is this registration for?

Volunteer Release and Waiver of Liability Form

The undersigned volunteer (“Volunteer”) is at least 18 years old and desires to provide volunteer services for Northern Nevada Dream Center Committee, Inc. (“Northern Nevada Dream Center”) and engage in activities related to serving as a volunteer and agrees to do so in accordance with the following terms.

1. Scope: Volunteer understands that the scope of Volunteer’s relationship with Northern Nevada Dream Center is limited to a volunteer position and that no compensation is expected in return for services provided by Volunteer. Northern Nevada Dream Center will not provide any benefits traditionally associated with employment to Volunteer. Volunteer is responsible for their own insurance coverage in the event of personal injury or illness as a result of providing services to Northern Nevada Dream Center.

2. Waiver and Release: Volunteer releases and forever discharges and holds harmless Northern Nevada Dream Center and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services provided to Northern Nevada Dream Center. Volunteer understands and acknowledges that Volunteer is discharging Northern Nevada Dream Center from any liability and waiving any claim that Volunteer may have against Northern Nevada Dream Center, with respect to bodily injury, personal injury, illness, death, or property damage that may result from providing services to Northern Nevada Dream Center.

3. Medical Treatment: Volunteer grants Northern Nevada Dream Center permission to authorize any necessary emergency medical treatment. Volunteer releases and forever discharges Northern Nevada Dream Center from any claim whatsoever which arises on account of any first-aid treatment or other medical treatment rendered.

4. Acknowledgment of Risk: Volunteer acknowledges that the services provided to Northern Nevada Dream Center may include activities that may be hazardous or involve risk. Volunteer knows of no reason, medical or otherwise, that would prevent participation in these activities and other volunteer services.

5. Photographic Release: I grant and convey to Northern Nevada Dream Center all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Northern Nevada Dream Center in connection with my providing volunteer services to Northern Nevada Dream Center.

6. Other: This document will be governed by and interpreted in accordance with the laws of the State of Massachusetts, and is intended to be interpreted as broadly as possible. In the event that any clause or provision of this document is deemed invalid, the enforceability of the remaining provisions Release will not be affected.


By signing this document, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.