Volunteer Registration and Agreement Form

This application is for individuals who are interested in seeking volunteer opportunities with Kitsap County Parks and Recreation. The information you provide will help us find a project that best matches your siklls and interests. Once you complete the form, click the continue button at the bottom.

Name and address

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Nighttime phone:

OK to call me here

Daytime phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

(year optional)

Gender:

Education:

Availability

Please indicate the days and times you are usually available to volunteer.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

What type of project are you interested in doing:

Comments:

Please include any other information that you feel is important to your application.

Emergency Contact

1

2

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Minor Permission

If volunteer is under 18, a guardian must fill out this portion of the form.

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Relationship:

Volunteer's release of all Liability

It is my desire and intention to perform voluntary services without compensation of any kind for the Kitsap County Parks Department.

I am fully aware of the possible hazards of volunteering for the County and I am aware that in volunteering I may incur personal injury and/or property damage. I understand that my volunteer services may include a variety of physical hazards, including but not limited to, the use of tools, and extremely rugged, uneven and steep terrain.

I attest that I am physically fit, able, and qualified to participate in this volunteer activity. I am participating in these activities with knowledge of the risks involved and I hereby agree to accept any and all risks of injury or death.

I agree to indemnify and hold Kitsap County and any cooperating agencies involved in the activities and any of their agents, officials or employees free and harmless from any liability, loss, cost or expense including attorney fees which may result from participation in these volunteer activities. I understand that, but for this release of any and all liability, the County would not accept my offer of volunteering service.

I have read and agree to follow all the Covid-19 volunteer guidelines as outlined by the Kitsap County Parks Department.

I authorize that all necessary first aid steps may be taken as prescribed by qualified personnel. I grant full permission to use any photographs, videotapes, recording or any other record of this program for publicity purposes.

By signing below, I agree that I understand and consent to this statement.

I Agree