Thank you for your interest in becoming a Forest Preserves of Winnebago County (FPWC) volunteer. Once you complete the form, click the "Continue" button at the bottom.


Contact Information and Personal Data


Employer (or School, if Student)

Please list your current employer and occupation, or school, if you are a student


Emergency Contact

In the event of an emergency whom should we notify?


Skills & Experience

Experience is not required! Do you have skills in the following areas? Check all that apply. Please add any other skills in the space provided:


Availability

Please indicate when you are usually available to volunteer.


Assignment Preference

The following volunteer assignments may currently be available. Use this list to rank your choices.


Demographics

This information helps us get a better idea of the demographic make-up of our volunteers.


Volunteer Waiver & Release

The Forest Preserves of Winnebago County (hereinafter referred to as “FPWC”) is committed to conducting its programs and activities in a safe manner and holds the safety of volunteers in high regard. FPWC continually strives to reduce such risks and insists that all volunteers follow safety rules and instructions that are designed to protect the volunteer’s safety. However, volunteers must recognize that there is an inherent risk of injury when choosing to volunteer for any activity or program.Each volunteer is solely responsible for determining if he/she is physically fit and/or properly skilled for any volunteer activity. It is always advisable, especially if the volunteer is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.

Warning of Risk
Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when providing volunteer services. Understandably, not all hazards and dangers can be foreseen. Volunteers must understand that depending upon volunteer services, certain risks and dangers, and injuries due to acts of God, inclement weather, slips and falls, inadequate or defective equipment, failure in supervision or instruction, premises defects, horseplay, carelessness, lack of skill or technique, and all other circumstances inherent to particular volunteer services, exist. In this regard, it must be recognized that it is impossible for FPWC to guarantee absolute safety.

Waiver and Release of All Claims and Assumption of Risk
Please read this form carefully and be aware that in consideration for providing volunteer services, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you may sustain as a result of participating in any and all activities connected with or associated with your volunteer services (including transportation services/vehicle operations, when provided).

I understand that it is my (or my minor child/ward’s) responsibility to wear personal protection equipment, should the activity require it. I further understand that as a volunteer, I (or my minor child/ward) am not entitled to benefits normally associated with employment, such as workers’ compensation insurance and unemployment insurance.

I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity that I (or my minor child/ward) may sustain as a result of my volunteer services (including transportation services/vehicle operations, when provided). I further agree to waive and relinquish all claims I (or my minor child/ward) may have (or accrue to me or my child/ward) as a result of participating in volunteer services for the FPWC, including its officers, officials, agents, volunteers and employees (hereinafter collectively referred to as “Parties”).

I attest that I have never been convicted of or found to be a child sex offender.

I consent to and authorize the use and reproduction by the FPWC of any and all photographs and any other audiovisual materials taken of me (or my minor/ward) for promotional printed material, educational activities, and exhibitions or for any other use for the benefit of the program.

I confirm that the information provided by me on this application is true and accurate as of the date of its completion. I am aware that my failure to provide accurate and/or complete information shall result in the discontinuation of my volunteer status. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. My on-line or facsimile signature, or "I agree" checkbox shall substitute for and have the same legal effect as an original form signature.

I understand and agree that submitting this application form does not automatically register me as a Forest Preserves of Winnebago County volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

I agree to the above terms:

-------------------------------