Indy Parks and Recreation

Indy Parks and Recreation

Group Volunteer Enrollment Form

(To process, please complete entire form. Please print.)

General Information

Group/

Organization: Phone #: Fax #: E-mail:

Zip

Address: City: State: Code:

Number of years organization has been in existence: Number of volunteers:

Contact Name: Phone #:

Contact Address (if different than above):

Volunteer Interests: (check all that apply)

o Aquatics* o Environmental/Beautification o Peace Games* o Sports* o Senior Programs

o Arts & Crafts* o Greenways o Concerts o Skate Park* ¨ Facility Maintenance/Improvements

o Special Events* o Therapeutic & Adaptive Recreation ¨ School Outreach Program* o Major Taylor Velodrome*

(*Only available with small groups and may require background checks. Individual members of the group must also complete an Individual Enrollment Form.)

Hours and Days of Availability: (check all that apply)

oFlexible o Prefer Weekdays o Prefer Weekends ¨ Holidays

o Prefer Morning Hours ¨Prefer Afternoon Hours o Prefer Evening Hours

Please read the following information and sign below. (Unsigned forms will not be processed)

General Intent

(“Organization”) desires to offer its employees/members as volunteers to assist the Department of Parks and Recreation (“DPR”) in the maintenance of its parks and facilities or the running of its programs at the direction of a DPR representative. Such volunteers are not to be regarded as contractors or employees of DPR or entitled to any benefits of employment or other compensation. Organization agrees to cooperate with DPR policies regarding the volunteer program.

Waiver of Liability

Organization hereby knowingly and without reservation agrees to release, indemnify and hold harmless the City Of Indianapolis and DPR, its members, officers, agents and employees from every liability, claim, loss damage, or expense (including attorney fees) for every injury or damage to property, which injury or damage arises out of or is in any way connected with the Organization and its members’, employees’ and volunteers’ participation in this volunteer program.

Name of Organization

Signature:

Printed:

Title:

Date:

(revised:04/07/10)

Please return form to: Attention to Volunteer Coordinator, Indy Parks and Recreation, 602 E. 17th Street, Indianapolis, IN 46202 Phone # 327-7036