2024 Campus Clean Up Volunteer Commitment Form and Waiver Join us on Saturday, May 11, between 9 a.m. & 3 p.m. We appreciate your help! Question Title * 1. Please enter your complete contact information. First and Last Name * Company/Studio Name Address * Address 2 City * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP Code * Email Address * Phone Number * Question Title * 2. Touchstone will provide a pizza lunch for those helping with campus clean up. Please let us know if you would like to participate in lunch. Yes, I love pizza! No, I prefer to bring my own lunch or I will not be present at lunchtime. Question Title * 3. Please note if you require any accessibility accommodations to help on campus. A staff member may reach out to you to discuss how we can help to make participation easier/possible. Question Title * 4. WAIVER, RELEASE, and INDEMNITY AGREEMENTThis is a release of legal rights. Carefully read and understand before agreeing. For and in consideration of being permitted to participate in any activities Campus Clean Up at Touchstone Center for Crafts ("Touchstone"), I, the undersigned, acknowledge under sound state of mind, that I will be engaging in activities that involve risk of injury, permanent disability and death, property damage, and severe social and economic loss which may arise from the my own or another's actions, inactions, or negligence, including other risks not foreseeable at this time. I understand that in any activity I may use inherently dangerous tools, equipment, chemicals, or substances. I agree to accept the risks involved with the use of the aforementioned.I understand that my behavior can affect my personal safety and the safety of others involved in Touchstone activities. I will act according to Touchstone’s policies, including those described in the Participant Guide (available at www.touchstonecrafts.org), and all information, policies, and procedures provided to me by Touchstone, its staff and volunteer coordinators. I understand that failure to comply may result in my dismissal from Touchstone at its discretion and my expense.Additionally, I understand that Touchstone does not provide medical assessments or care in the event of any medical emergency. First Aid kits are provided to those who wish to treat their own minor injuries; it is Touchstone’s policy to contact 911 in the event of a medical emergency. The Uniontown Hospital and MedExpress Urgent Care Center are both approximately a 20-minute drive from Touchstone's campus.I/we, the undersigned, agree to hereby voluntarily RELEASE, DISCHARGE, WAIVE and RELINQUISH any and all actions directed towards Touchstone, its administrators, board of directors, employees/staff members, volunteers, and instructors, (the “Released Parties”), from any liability that may arise from myself, my heirs, estate, next of kin, executors, my child(ren), or anyone else acting on my behalf, including any claim, demand or loss on account of personal injury, property damage, or wrongful death, whether cause or alleged to be caused by whole or in part by the negligence of the Released Parties or otherwise. Furthermore, I agree to indemnify and hold harmless the Released Parties for any claim(s), demand(s), suit(s), cost(s), or judgement(s) arising out of any injury, illness, death, or property damage arising from or in connection with my participation in any activities related to the Campus Clean Up event at Touchstone. I hereby acknowledge that I have read and understand the foregoing in its entirety and that I have opted to agree by checking below voluntarily and will abide by said terms of agreement as set forth by Touchstone. I agree to all terms of the Waiver, Release, and Indemnity Agreement. Submit!