VOLUNTEER RELEASE FORM - 2014

Volunteer’s Name: Male  Female

Contact phone # and e-mail:

I am UNDER 21:  / / I am OVER 21:  Proof of I.D. 

Date of birth UC|CU Volunteer Coordinator

CHECK ALL HOURS YOU ARE AVAILABLE:Friday. October 3rd  6-11 pm

Saturday. October 4th 8am-4pm4pm-11pm noon-11pm

Please list any languages that you speak, read and/or write fluently, in addition to English .

VOLUNTEER OPPORTUNITIES

CLICK all areas you would be interested in volunteering in...

BOOTH & SPONSOR LIAISON  INFO & CHECK-IN BOOTH  BAR & VIP LOUNGE ( must be 21 or older)

VOLUNTEER BOOTH & BACKSTAGE FESTIVAL SET UP & TAKE DOWN

Have you ever been charged with or convicted of the following: YES NO 

- Any crime involving a sexual offense, an assault or the use of a weapon?  

- Any crime involving the use, possession or the furnishing of drugs or hypodermic syringes?  

- Reckless driving, operating a motor vehicle while under the influence, or driving to endanger?  

To help protect Unity Coalition|Coalicion Unida (UC|CU), Celebrate ORGULLO, the City of Miami Beach and all other related entities associated with the Celebrate ORGULLO Festival, and to minimize liability to the Festival itself, please read the following conditions that apply to your service as a volunteer.

I have read and signed the attached rules and statement of UC|CU & Celebrate ORGULLO’s expectations of me as a volunteer and I promise to follow them and I will receive no compensation in return.

I recognize and understand that my volunteer activities for the UC|CU & Celebrate ORGULLO expose me to the possibility of injury to my person and property and that I may suffer some kind of injury as a result of an accident and other unforeseen circumstances.

I recognize that as a volunteer, I am not covered by any workers compensation or similar insurance that would pay my medical bills incurred because of any injury I may receive while performing services as a volunteer.

Despite this risk of injury and lack of workers compensation or other medical insurance coverage from UC|CU & Celebrate ORGULLO, I knowingly and voluntarily waive any and all claims, actions, or causes of action against UC|CU & Celebrate ORGULLO and agree to hold UC|CU & Celebrate ORGULLO, its trustees, agents, affiliates, and employees harmless for any injury or damage that I may suffer as a result of my activities as a volunteer for UC|CU & Celebrate ORGULLO.

I grant permission to UC|CU & Celebrate ORGULLO, its representatives and employees to use any photographs of myself of the like or of my property in connection with the above-identified event. I authorize UC|CU & Celebrate ORGULLO, its assignees and transferees to copyright, use and publish the same in print and/or electronically, including such purposes as publicity, marketing, illustrations, advertising, and Web content. I hereby relinquish any right that I may have to examine or approve the completed product or products, or the advertising copy, printed material or Web content that may be used in conjunction therewith or the use to which it may be applied.

In return for my agreement to these conditions, UC|CU & Celebrate ORGULLO agree to accept my services as a volunteer.

Signature of Volunteer Date

Unity Coalition|Coalición Unida is the first & only organization for the So. Fla. Latino|Hispanic|LGBTQ (lesbian, gay, bisexual, transgender, questioning) Community - advancing Equality since 2002.

Unity Coalition|Coalición Unida es la primera y única organización en el sur de la Florida para la comunidad latina|hispana LGBTQ (lesbianas, gay, bisexual, transgénero, cuestionando) - avanzando hacia la igualdad desde el 2002.