2016 Paddle to Nisqually Volunteer Form - *Completed and Approved Application Required to Participate

Question Title

1. Enter Applicant Information (Required.)

First Name

Middle Initial

Last Name

DOB - mm/dd/yyyy

Driver's License Number

Question Title

2. Email Address (Required.)

Question Title

3. Mailing Address (Required.)

Street

City

State

Zip Code

Country

Question Title

4. Phone numbers (Provide at least one) (Required.)

Land Line

Mobile/Cell/Messages

Question Title

5. Preferred Method of Communication (Choose one) (Required.)

Phone

Question Title

6. Affiliation (e.g. Organization/Canoe Family Name - Choose one)

Nisqually Tribe

Canoe Family

Non-Profit Organization

For-Profit Organization

Individual

Other

List Affiliation Name

Question Title

7. Emergency Contact Information (Required.)

Emergency Contact Name

Emergency Contact Phone

Question Title

8. Select Dates Available to Work

Sat 7/30

Sun 7/31

Mon 8/1

Tue 8/2

Wed 8/3

Thu 8/4

Fri 8/5

Sat 8/6

Question Title

9. Select Times Available to Work

From

Time

AM/PM

Time

AM/PM

Question Title

10. Please Select Priority Preference of the Volunteer Areas
(Drag and Drop choices starting at top of list - 1 meaning first choice and click N/A if not applicable for your choice) (Required.)

Culture/Hospitality

N/A

Elders

N/A

Equipment

N/A

Event

N/A

Green Team

N/A

Host Family Camping

N/A

Kitchen & Cleanup

N/A

Meals/Food

N/A

Media

N/A

Medical

N/A

Public Works & Camping

N/A

Safety & Security

N/A

Transportation & Parking

N/A

Vendors

N/A

Volunteers/Staffing

N/A

Youth Activities

N/A

Question Title

11. I have read and agree to the Release & Waiver of Liability as stated below. (Required.)

Yes

Paddle to Nisqually 2016 Release & Waiver of Liability
This is a Release and Waiver of Liability between Volunteer and Nisqually Indian Tribe (herein “TRIBE”) for
Participation in the 2016 Paddle to Nisqually. Please read this document carefully – it is a legally binding
agreement and your signature below indicates that you as Volunteer agree to all of the terms contained in
this document.
1. Waiver and Release. Volunteer does hereby release and forever discharge and hold harmless TRIBE and its
successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law
or in equity, which arise or may hereafter arise from Participation. Volunteer understands that this Release
discharges TRIBE from any liability or claim that the Volunteer may have against TRIBE with respect to any
bodily injury, personal injury, illness, death, disability, or property damage that may result from Participation,
whether caused by the negligence of TRIBE or its o?cers, directors, employees or agents, other Volunteers, or
otherwise.
2. Medical Treatment. Volunteer does hereby release and forever discharge TRIBE from any claim whatsoever
which arises or may hereafter arise on account of any ?rst aid, treatment or service rendered by any person in
connection with Participation with this event.
3. Assumption of the Risk. Volunteer acknowledges that there are potential hazards (“Hazards”), known and
unknown, involved in Participation. The term “Hazards” is intended to be used in its broadest sense and
includes, but is not limited to natural hazards (land, weather, etc.) and man-made hazards (concrete, steel, etc.),
food contamination, as well as hazards typical for playing gaming equipment and competitive games. The
Volunteer understands and acknowledges that Participation may include Hazards that could harm the
Volunteer, and that such Hazards mayor may not always be obvious. Volunteer hereby expressly and
speci?cally assumes the risk of injury or harm for all such Hazards and releases TRIBE from all liability for injury,
illness, and death or property damage resulting from Participation.
4. Photographic Release. Volunteer, without entitlement to any additional compensation, does hereby grant
and convey unto TRIBE authorization to use in perpetuity, and all right, title and interest in any and all
photographic images and video or audio recordings made by TRIBE that depict Volunteer. Volunteer
understands that any images of the Paddle will be used in a respectful way to honor the Participants and Spirit
of the event.
5. Parent/Guardian Authorization. For any Participant who is not yet 18 years of age as of the date signed
below, a parent or legal guardian must read the terms of this agreement along with the minor and sign below. I
have read all the terms of this Agreement and by signing below I express my understanding and intent to
enter into this Release and Waiver of Liability willingly and voluntarily. I also acknowledge that I consent to
a background check and urine analysis.
Signed electronically this date (mm/dd/yyyy) of:

Question Title

12. Digital Signature - Note: /s/ denotes digital signature. (Required.)

Applicant Digital Signature /s/

Parent or Guardian Digital Signature (If applicant is not yet 18 years of age as of signed date) /s/

Question Title

* 1. Enter Applicant Information (Required.)

Question Title

* 2. Email Address (Required.)

Question Title

* 3. Mailing Address (Required.)

Question Title

* 4. Phone numbers (Provide at least one) (Required.)

Question Title

* 5. Preferred Method of Communication (Choose one) (Required.)

Question Title

* 6. Affiliation (e.g. Organization/Canoe Family Name - Choose one)

Question Title

* 7. Emergency Contact Information (Required.)

Question Title

* 8. Select Dates Available to Work

Question Title

* 9. Select Times Available to Work

Question Title

* 10. Please Select Priority Preference of the Volunteer Areas(Drag and Drop choices starting at top of list - 1 meaning first choice and click N/A if not applicable for your choice) (Required.)

Question Title

* 11. I have read and agree to the Release & Waiver of Liability as stated below. (Required.)

Question Title

* 12. Digital Signature - Note: /s/ denotes digital signature. (Required.)

1. Enter Applicant Information (Required.)

2. Email Address (Required.)

3. Mailing Address (Required.)

4. Phone numbers (Provide at least one) (Required.)

5. Preferred Method of Communication (Choose one) (Required.)

6. Affiliation (e.g. Organization/Canoe Family Name - Choose one)

7. Emergency Contact Information (Required.)

8. Select Dates Available to Work

9. Select Times Available to Work

10. Please Select Priority Preference of the Volunteer Areas
(Drag and Drop choices starting at top of list - 1 meaning first choice and click N/A if not applicable for your choice) (Required.)

11. I have read and agree to the Release & Waiver of Liability as stated below. (Required.)

12. Digital Signature - Note: /s/ denotes digital signature. (Required.)