Event Volunteer Registration Form 1 2 3 4 5 Order Number Saturday, March 28 & Sunday, March 29, 2020 First Name * Last Name * Are you a resident of the City of Dania Beach?: Yes No Are you a student performing Service Hours?: Yes No YOUR CONTACT INFORMATION: Street Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Home Phone * Cell Phone * Email Address * Preferred method of contact * EMERGENCY CONTACT INFORMATION: Name Relationship Home Phone Cell Phone Do you have any medical conditions, allergies, etc. of which we should be aware of in case of an emergency? * Yes No T-SHIRT SIZE: Please provide your T-Shirt size: Small Medium Large Extra Large ASSIGNMENTS AND SCHEDULING: Please indicate which committee you would like to work on: Kids Area/ Youth Art Dania Beach Wall Artist Relations Information Booth Merchandise Volunteer Booth Performance Art EVENT DAYS: Saturday, March 28 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, March 29 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, March 29 6:00 p.m. to 9:00 p.m. VOLUNTEER VERIFICATION & SIGNATURE Have you ever been convicted of a felony or misdemeanor? * 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 2020 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 * Clear To sign, click and drag in the square box above. Print Name * Date * Are you UNDER 18? * Yes, I am under 18No, I'm over 18 If You Are Under The Age Of 18, You Will Receive An E-Mail From Our Volunteer Coordinator Requiring A Signature From Your Parent Or Guardian.