Volunteer

Event Volunteer Registration Form

Saturday April 8th and Sunday April 9th. 2017


Are you a resident of the City of Dania Beach?: YesNo
Are you a student performing Service Hours?: YesNo

YOUR CONTACT INFORMATION:








EMERGENCY CONTACT INFORMATION:




Do you have any medical conditions, allergies, etc. of which we should be aware of in case of an emergency? YesNo

ASSIGNMENTS AND SCHEDULING:

Please indicate which committee you would like to work on:
Kids Area/ Youth ArtOld Photos Wall AreaArtist RelationsInformation BoothMerchandiseVolunteer BoothPerformance Art

EVENT DAYS:

Saturday, April 8th 9:30a.m. to 1:00 p.m.12:30 p.m. to 4:00 p.m.3:30 p.m. to 8:00 p.m.
Sunday, April 9th 9:30a.m. to 1:00 p.m.12:30 p.m. to 4:00 p.m.3:30 p.m. to 7:00 p.m.

EVENT BREAK-DOWN & CLEAN-UP

Sunday, April 9thy 6:00 p.m. to 9:00 p.m.


VOLUNTEER VERIFICATION & SIGNATURE

  • Have you ever been convicted of a felony or misdemeanor?* [radio* VolunteerConvicted "Yes" "No"]
    (Please note: A conviction may not bar you from working at this event, but it will be reviewed as part of your volunteer approval.)
  • If chosen to be a Volunteer for the Dania Beach Arts & Seafood Celebration, I agree to fulfill the tasks and shifts as assigned, and agree to provide adequate notice if I am unable to meet my commitments. As a Volunteer, I also agree to abide by the rules and procedures set forth by the management of the Dania Beach Arts & Seafood Celebration. I understand that the “Florida Volunteer Protection Act”, Section 768.1355 of the Florida laws known as the “Florida Statutes”, a copy of which is attached, made a part of and incorporated into this Event Volunteer Registration Form by this reference, will apply to my services.
  • I acknowledge that I will not use vulgar language or conduct myself other than as a courteous person during my Volunteer Shift, and that failure to do so will be grounds for termination of this agreement and termination of my shift.
  • I agree to forever discharge, release and hold harmless the Dania Beach Community Redevelopment Agency (“CRA”), the City of Dania Beach and Standing Ovations, Etc., including all of the officers, agents, employees and volunteers of the foregoing, and all agents of and from any and all manner of any action and causes of action of any kind, suits, proceedings or claims whatsoever arising from any loss or damage to the person or property, while in the participation or supervision of the 2017 Dania Beach Arts & Seafood Celebration.
  • I understand, consent and give my permission to have my photograph taken, together with any caption or descriptive material, including my name that you may choose for advertising, publicity, or any other lawful purpose in any publication or manner. I waive the right to inspect or approve any photographs before they are published and any lawful use to which they may be put. I further release the Dania Beach CRA, the City of Dania Beach and Standing Ovations., including all of the officers, agents, employees and volunteers of the foregoing, and all agents of and from any and all manner of any action and causes of action of any kind, suits, proceedings or claims whatsoever arising out of, or in conjunction with the taking and use of my photograph, the use of my name and the use of any caption or descriptive material therewith.

By signing below, I agree that I have read and understood the terms listed in this form.

Signature*: To sign, click and drag in the square box below.



IF VOLUNTEER IS UNDER 18 YEARS OLD:

My son/daughter/ward who is years old, is a capable, conscientious and competent individual. I Grant my permission for my son/daughter/ward to serve as a Volunteer at the Dania Beach Arts & Seafood Celebration. In the event of a medical emergency while my son/daughter/ward is volunteering at the Dania Beach Arts & Seafood Celebration, if I am not readily accessible, I authorize whatever medical treatment responsible medical personnel (“EMT”) deem essential to be rendered, including hospitalization.

SIGNATURE of Parent/Guardian: To sign, click and drag in the square box below.






* = Required