NBB&BC Volunteer Information – WAIVER ONLY

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  • By signing below, I agree to the following: I attest that I am physically fit and prepared for this event. In consideration of my acceptance as a participant in this event, I hereby agree to release, defend, indemnify and hold harmless Smart Coos, Inc. and its affiliates and sponsors and its and their officers, directors, employees, representatives and agents, from any and all claims for expenses, personal injury, losses or damages that may be incurred or caused by me during or in connection with my participating in this event, whether arising from the negligence of such persons or otherwise. I understand that, when I am participating in this event, I will be under the supervision and control of Smart Coos, Inc. I understand that I will not be under the supervision and control of Smart Coos, Inc. I grant full permission for organizers to use photographs, portraits, films and videos of me and quotations made by me in legitimate accounts and promotions of this event and Smart Coos, Inc.
  • Do you have any convictions or pending violations of law?

    All prospective volunteers are required to disclose information regarding any past convictions or pending violations of law (other than traffic violations) in all jurisdictions even if they do not anticipate volunteering with vulnerable populations.

  • Are you now or have you ever been the subject (perpetrator) of an indicated child abuse and/or maltreatment report on file with the New York State Central Registry of Child Abuse and Maltreatment (SRC) or elsewhere?

    All prospective volunteers are required to disclose information regarding any past convictions or pending violations of law (other than traffic violations) in all jurisdictions even if they do not anticipate volunteering with vulnerable populations.

  • Have you ever been terminated, suspended, placed on probation, reprimanded or otherwise penalized by an employer for child abuse and/or maltreatment in New York State or elsewhere?

    All prospective volunteers are required to disclose information regarding any past convictions or pending violations of law (other than traffic violations) in all jurisdictions even if they do not anticipate volunteering with vulnerable populations.

  • I declare that all the statements made on this form are accurate and complete to the best of my knowledge.