SLO Triathlon Volunteers Survey

Thank you for your interest in volunteering for the 34rd Annual SLO Triathlon on Sunday, July 28, 2013. The City of San Luis Obispo Parks and Recreation Department appreciates the help of individuals, groups, service groups and businesses that continue to support this community event.

1. Volunteer Information:

Volunteer Information: Full Name:
Email:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:

2. Please list an emergency contact:

Please list an emergency contact: Name:
Relationship:
Contact Number:

3. Volunteer Groups: Service Group, Agency or Business Information:

Volunteer Groups: Service Group, Agency or Business Information: Organization Name:
Preferred Method of Contact:
Number of Volunteers Attending:

4. Which volunteer areas are you interested in helping with on the day of the SLO Triathlon?

Which volunteer areas are you interested in helping with on the day of the SLO Triathlon? Run Course

Water Stations (groups only)

Swim Center (limited)

Finish Line

Bike Course

Tranistion Area

Registration

5. What time of day are you available to volunteer on the day of the SLO Triathlon?

What time of day are you available to volunteer on the day of the SLO Triathlon? Morning (5-10:30)

Afternoon (10-3:30)

All Day

The following list of responsibilities are to be adhered to by all volunteers:
1. Always act in a professional and respectful manner.
2. Be safety conscious at all time.
3. Be courteous to all persons with whom you come in contact.
4. The use of alcohol and controlled substances is absolutely prohibited.
5. Always check in and out with your designated supervisor.
6. A commitment to attend all scheduled assignments is mandatory to continue in the volunteer program.

6. WAIVER AND LIABILITY RELEASE:
I have read the volunteer responsibilities above and understand that as a volunteer I will adhere to them and act in a respectful manner while representing the City of San Luis Obispo. I assume the responsibility of mental and physical fitness to participate in the assignment described above, and agree to abide by all rules and requirements of the program. I also understand that failure to abide by the above may lead to my termination from the volunteer program.

I understand that I am not considered an employee of the City of San Luis Obispo for the purposes of Workers’ Compensation, but that the City provides volunteer accident insurance in excess of any other medical insurance I may have. I agree to comply with the City’s policy on reporting any injuries I incur while under the City’s supervision.

I agree to hold harmless the City of San Luis Obispo, its officers, employees and volunteers from and against any and all liability arising out of or in any way connected with my participation in the volunteer program. THIS RELEASE SHALL APPLY EVEN THOUGH
LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THOSE DISCHARGED INCLUDING THEIR EMPLOYEES, AGENTS AND VOLUNTEERS.

This waiver and liability release shall apply to myself, as well as any of my heirs, executors or administrators.

I am of lawful age and legally competent to sign this agreement. I understand the terms and have signed this document as my own free act.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS RELEASE BY READING IT BEFORE I SIGNED IT. I REALIZE THAT BY SIGNING THIS DOCUMENT I AM GIVING UP LEGAL RIGHTS TO WHICH I MAY BE ENTITLED.

WAIVER AND LIABILITY RELEASE: I have read the volunteer responsibilities above and understand that as a volunteer I will adhere to them and act in a respectful manner while representing the City of San Luis Obispo. I assume the responsibility of mental and physical fitness to participate in the assignment described above, and agree to abide by all rules and requirements of the program. I also understand that failure to abide by the above may lead to my termination from the volunteer program. I understand that I am not considered an employee of the City of San Luis Obispo for the purposes of Workers’ Compensation, but that the City provides volunteer accident insurance in excess of any other medical insurance I may have. I agree to comply with the City’s policy on reporting any injuries I incur while under the City’s supervision. I agree to hold harmless the City of San Luis Obispo, its officers, employees and volunteers from and against any and all liability arising out of or in any way connected with my participation in the volunteer program. THIS RELEASE SHALL APPLY EVEN THOUGH LIABILITY MAY ARISE OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF THOSE DISCHARGED INCLUDING THEIR EMPLOYEES, AGENTS AND VOLUNTEERS. This waiver and liability release shall apply to myself, as well as any of my heirs, executors or administrators. I am of lawful age and legally competent to sign this agreement. I understand the terms and have signed this document as my own free act. I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS RELEASE BY READING IT BEFORE I SIGNED IT. I REALIZE THAT BY SIGNING THIS DOCUMENT I AM GIVING UP LEGAL RIGHTS TO WHICH I MAY BE ENTITLED. I agree to the SLO Triathlon Volunteer Waiver

7. By enterting my name below, I assert that I have reviewed and agree to the waiver and liability release.

By enterting my name below, I assert that I have reviewed and agree to the waiver and liability release. Electronic Signature of Volunteer:
Date:
Electronic Signature of Parent/Guardian (if under 18 years of age):
Date:

All volunteers receive a FREE T-shirt, water bottle, snack pack and appreciation raffle entry.

The most spirited clubs, businesses or agencies receive a prize package, trophy and mention in the SLO Triathlon "Thank You" Ad. Costumes encouraged!

For more information about volunteering contact Brian Roberts, Volunteer Coordinator, at broberts@slocity.org or (805) 781-7445.

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