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CBC's Volunteer Application

Volunteer Form for The Children's Bereavement Center

Thank you for your interest in volunteering at the Children's Bereavement Center. We have several volunteer opportunities throughout the year for our volunteer to engage in. All volunteers must complete this volunteer form. Once completed, a CBC team member will contact you.
1.Contact Information (Please include first and last name)(Required.)
2.I am (Volunteers must be 14+)(Required.)
3.Could you please share the name of the company you work for or the school you attend?(Required.)
4.What hobbies, talents, or skills do you have that would be of interest to the CBC and which would you be willing to share? (e.g., a skilled photographer, artist, people person, great working with kids etc.)(Required.)
5.What languages do you speak?(Required.)
6.Please identify any physical or medical conditions that may affect your ability to participate at CBC events.(Required.)
7.Emergency Contact(Required.)
8.Please indicate what day of the week you are available to volunteer at CBC events.
9.Pleasde indicate what time of day you are available to volunteer at CBC events
10.By submitting this volunteer application, I (or a parent or adult guardian for all children under 18 years of age) acknowledge that I have read and agree to the following:

THE CHILDREN’S BEREAVEMENT CENTER VOLUNTEER RELEASE AND PARENT WAIVER I AGREE ALL REPRESENTATIONS MADE AND RELEASES, WAIVERS, COVENANTS AND CONSENTS GIVEN BY ME HERE ARE GIVEN ON BEHALF OF ME AND ALL MY MINOR CHILDREN OR PERSONS OVER WHOM I HAVE GUARDIANSHIP WHO MAY VOLUNTEER.

In consideration for volunteering for the Children’s Bereavement Center, I, for myself and my next of kin, heirs, administrators and executors, waive and release The Children’s Bereavement Center, its affiliates, including the affiliate conducting events (“Affiliate”), and their respective directors, employees, volunteers, agents, assigns, vendors, contractors, governments, licensees and successors (collectively, “Releasees”), from any and all claims, liabilities, actions, demands, expenses and attorneys’ fees arising out of my volunteer activities (collectively, “activities”). I understand my activities may involve physical activity, contact with other persons/animals or other potential risk of bodily injury or property damage. I voluntarily assume full and complete responsibility for and the risk of any injury, including death, accident or lost/stolen property. I am medically/physically able to volunteer and understand that standing for long periods of time and/or lifting will be necessary. I take full responsibility for consulting a physician. I consent to emergency medical care/transportation if injured, as medical professionals deem appropriate. This Release extends to any liability arising out of or in any way connected to medical care/transportation provided, including negligent emergency rescue operations. I will obey all laws, rules and safety procedures relating to my activities. I will exhibit appropriate behavior at all times and conduct myself in a manner as not to endanger the safety of or negatively affect Event or any person/property. I give Releasees the irrevocable, perpetual and worldwide right to use, copy, publicly perform/display, distribute, modify, translate, and create derivative works of, for any purpose and without compensation, any personal statements, photos, videos, audio, and other recordings of me made during my activities and any original material I create in connection with my activities. Without limiting the foregoing, I agree all personal information I provide in connection with my activities may be used according to the privacy policy referenced below. I agree to keep confidential any information I become privy to about each Releasee’s operations, structure, employees, financials, marketing strategy, donor lists/amounts, upcoming events, current/proposed transactions and sponsorships and any proprietary information not otherwise publicly disclosed. I will not use any confidential information outside my activities or in any way detrimental to any Releasee. This Release will be construed under the laws of the State where events are held. If any provision of this Release is deemed unenforceable by law, Affiliate may modify such provision to the extent needed to be deemed enforceable and all other provisions will remain in full force and effect. I certify I am at least 18 years old. I understand I have given up substantial rights by accepting this Release and have signed it freely and voluntarily without any inducement, assurance or guarantee. I intend my acceptance to be a complete and unconditional release of liability to the greatest extent allowed by law. Please type in your initials below.
11.I further acknowledge that temperatures and humidity throughout the State of Florida, including South Florida, can be extremely high, even outside of summer. I agree to drink plenty of fluids, including water, before, during, and after my time as a volunteer. I am aware of heat-injury related symptoms, including dizziness, nausea, vomiting, cramps, redness, incoherent speech and thoughts and will seek immediate medical attention if symptoms begin or occur. I also agree to wear loose, light colored clothing to minimize my exposure to the sun and heat. In the unfortunate event of any medical problem, I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization. I agree remain at home if I am feeling ill and will not attend the event as a volunteer if I am sick on the date of the event. Please type in your initials below.
12.I acknowledge that I have read and understood the volunteer waiver information presented in question 10 and 11.
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