Volunteer Registration
Please type your information in the appropriate boxes.
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PERSONAL INFORMATION
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First Name:
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Last Name:
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Street Address:
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City:
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State:
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Zip Code:
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Your E-Mail Address:
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Home or Cell Phone Number:
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Home Church or Agency Affiliation:
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Location:
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How would you like to help:
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Comments:
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Volunteer Waiver & Release Statement
In the course of participating in KidsGames Grand Rapids I may be dealing with confidential information and I agree to keep such information in the strictest confidence.
I understand that KidsGames Grand Rapids is not responsible in matters of illness or accidents and will not hold KidsGames Grand Rapids or any of its representatives liable for any accidents that might occur while participating in these games.
In the event that I am unable to do so on my own because of injury or illness, I consent to administration of first aid and/or medical treatment.
I also agree to be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered pursuant to the authorization. I acknowledge that I possess my own health insurance.
I further give permission for still or moving images of my likeness to be used for promotional purposes in printed and/or electronic media.
I affirm that I have read this KidsGames Waiver & Release Statement, understand it, and agree to and accept its terms and conditions.
Waiver: I have read and agree with the Volunteer Waiver and Release Statement
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