Sample Volunteer Application Form (Page 3 of 3) in pdf

Sample Volunteer Application Form Page 3

I/we understand that there is a risk of serious injury associated with the use of the YMCA

facilities, participation in YMCA programs and use of exercise and other equipment. As a

condition of my participation I agree to assume the risk of injury arising from my use of the

facilities, programs, equipment and for all other matters at all YMCA locations or programs

whenever occurring. On behalf of myself and my heirs, administrators and executors, I hereby

release and hold the YMCA and its officers, trustees, employees, agents and contractors

harmless from all such claims for injury and damage. I understand that I would not be

permitted to participate in any YMCA program or use any YMCA facility or equipment without

signing this agreement. I/we authorize the Ashtabula County YMCA or its designees, agencies

and contractors to create, have and use photographs, slides and videotapes containing my

image for its record keeping or marketing/public relations programs. I understand that the

Ashtabula County YMCA is not responsible for personal property lost, damaged, or stolen while

members and/or program participants are using YMCA facilities, on YMCA premises, or involved

in YMCA programs.

Your signature

Date

Parent’s or guardian’s signature

(if you’re under 18)

Date

Sample Volunteer Application Form Page 3