Please complete this application form if you are interested in becoming a City of Cape Coral volunteer. Once you complete the form, click the Continue button at the bottom.
In the event of an emergency whom should we notify?
WAIVER AND RELEASE FORM
RELEASE OF LIABILITY
RELEASE OF ALL CLAIMS: The undersigned releases, covenants not to sue and forever discharges the City of Cape Coral, its Officers, Agents, Employees, Volunteers and their successors and assigns (all of whom constitute the released parties) of all liabilities, claims, actions, damages, costs or expenses that the applicant may have against the released parties arising out of or in any way connected with the applicant’s work as a volunteer for the City of Cape Coral, Parks and Recreation including injury or damage to person or property, or resulting in the death of the applicant, whether caused by the negligence of the released parties or otherwise.
CONSENT TO TREATMENT: If I should suffer any illness or injury, I authorize medical personnel, as the City may designate, to carry out any minor medial treatment deemed necessary or to take me to a medical facility/emergency room of the nearest hospital for treatment, if required.
CONSENT TO LIKENESS: I hereby authorize the use of any photographs, video pictures or other material depicting m likeness, for publicity, promotional or news purposes.
I understand and agree that the City of Cape Coral is not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise.
I understand that participation in the Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation.
I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.
I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities.
Under penalties of perjury, I declare that I have read and understood the foregoing Application, Waiver and Release Form and that the facts stated in it are true and correct.
(Signature of Volunteer) Date
I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies. ______________________________________________________________________________________________ (Signature or Parent/Legal Guardian if Volunteer is Under 18) Date I am the parent or legal guardian of the Volunteer. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.
(Signature of authorized City employee) Date