Volunteer Application Volunteer Application Thank you so much for being a Main Street Volunteer! Date MM slash DD slash YYYY Name First Last Date of Birth MM slash DD slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Preferred Method of Contact Phone Text Email Would you like to be added to our Volunteer Newsletter?(Required) Yes! Sign me up No thank you Emergency Contact Emergency Contact Phone Relationship Event CommitteesHelp us plan our events! Meet a few times before the event and help Main Street plan our events. *You must be a member to serve on a committee. Veterans Dinner Small Business Saturday Breakfast with the Pros Maniacs & Witches Storybook Adventures Taste of Main Street Historic Preservation Awards & Plaques Annual Meeting Event VolunteersVolunteer to help out at our events. This could be checking people in, helping plate & serve food, clean up, set-up, photography, running games, and more! Breakfast with the Pros Manaics & Witches Veterans Dinner Holiday Home Decorating Redneck Gala Taste of Main Street Historic Preservation Awards & Plaques Storybook Adventures Annual Awards Dinner Other Volunteer OpportunitiesVolunteer opportunities that are not related to our events. These can be done on a regular basis or on occasion. Office/Administrative Support Community Outreach Tour Guides/help Community Clean Up Donate Your skills Availability and Preferred HoursSundayMondayTuesdayWednesdayThursdayFridaySaturdayPreferred Hours Add RemoveSkills Are you able to sit/stand for long period of time without reasonable accomodations?? Yes No If accomodations are required, please indicate type here: Do you have or have you had any felony/misdemeanor charges filed against you? Yes No If yes, please explain. Will your volunteer hours be used towards graduation or community service? Yes No If yes, please explain. Volunteer Agreement(Required) I agreeI grant St. Cloud Main Street, its representatives, and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize St. Cloud Main Street, its assigns, and transferees to copyright, use and publish the same in print and or electronically. I agree that St. Cloud Main Street may use such photographs of me with or without my name and for any lawful purpose, including but not limited to publicity, illustration, advertising, and Web content. Please be sure to attach any relevant information/documentation along with this application. All volunteers are required to serve all clients regardless of race, color creed, religion, sex, age, national origin, political affiliations, disability, veteran, or military status. By signing this application, I am agreeing to volunteer my time, understand I will receive no compensation and will remain both ethically and professionally responsible to the Main Street Organization. Should any issues/concerns/time constraints arise, I am agreeing to contact St. Cloud Main Street within a reasonable amount of time.St. Cloud Main Street and City of St. Cloud Florida Hold Harmless Agreement and Release of Liability(Required) I have read this waiver, hold harmless agreement, and release of liability and fully understand its terms. I further understand that by signing this agreement that I am giving up substantial legal rights. I have not been induced to sign this agreement by any promise or representation, and I sign it voluntarily and of my own free will.1. I understand that there are inherent risks involved with the event, including the risk of serious physical injury or death and I FULLY ASSUME ALL RISKS ASSOCIATED WITH THE EVENT, EVEN IF DUE TO THE NEGLIGENCE OF THE CITY OF ST. Cloud and ST.CLOUD MAIN STREET, THEIR AGENTS OR EMPLOYEES, including but not limited to: variations in the competition surface, water, steepness and terrain; the presence of objects beneath the water surface such as rocks, debris and tree stumps; collisions with objects both on and off the water, barriers, employees, volunteers, other patrons and spectators; equipment failure; lack of safety devices or inadequate safety devises; lack of warnings or inadequate warnings; lack of instructions or inadequate instructions; and the like. I, for myself and for my heirs, assigns, successors, executors, administrators, and legal representatives, AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE CITY OF ST. CLOUD AND ST. CLOUD MAIN STREET AND THEIR AGENTS OR EMPLOYEES from any and all claims, suits or demands by anyone arising from the event INCLUDING CLAIMS OF NEGLIGENCE ON THE PART OF THE CITY OF ST CLOUD, ST CLOUD MAIN STREET AND THEIR AGENTS OR EMPLOYEES. 2. I, for myself and for my heirs, assigns, successors, executors, administrators, and legal representatives, HEREBY RELEASE, AND AGREE THAT I WILL NOT SUE THE CITY OF ST. CLOUD OR THE ST CLOUD MAIN STREET PROGRAM for money damages for personal injury sustained by me while participating in the event EVEN IF DUE TO THE NEGLIGENCE OF THE CITY OF ST CLOUD, ST CLOUD MAIN STREET, THEIR AGENTS OR EMPLOYEES. Parent/Guardian Minor Consent I have read this waiver, hold harmless agreement, and release of liability and fully understand its terms. I further understand that by signing this agreement that I am giving up substantial legal rights. I have not been induced to sign this agreement by any promise or representation, and I sign it voluntarily and of my own free will.This is to certify that I, as parent or guardian with legal responsibility for this participant, do hereby consent and agree to his or her release as set forth above, and for myself, my heirs, assigns, successors, executors, administrators, and legal representatives, AGREE TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE CITY OF ST CLOUD, St. Cloud Main Street AND THEIR AGENTS, OR EMPLOYEES from any and all claims, suites or demands by anyone arising from said participant’s participation in the event INCLUDING CLAIMS OF NEGLIGENCE ON THE PART OF THE CITY OF ST. CLOUD AND ST CLOUD MAIN STREET THEIR AGENTS OR EMPLOYEES.
