Playground Volunteer Build Day Waiver

PLAYGROUND PROJECT VOLUNTEER WAIVER AND RELEASE

This form must be signed by or on behalf of each volunteer who will participate in or otherwise be involved with the construction of the Playground Build (the "Playground Build" or the "Project"), or will be on the construction of the Playground Build, occurring the week of April 4, 2009 in Grand Prairie, Texas. If you are unable to read this print, please speak with the person handling volunteer registration for a larger-print version.

The construction site is the physical space where the playground is being installed into augered or man-made holes, and/or where human-or-otherwise-powered concrete mixers or power tools are being operated; the construction projects are any activities directly related to the assembly, installation and placement of the playground equipment and safety surfacing. Volunteers under age 18 must have this form signed by a parent or legal guardian (in such event, all references herein to "I" shall be deemed to refer to the volunteer who is under age 18). Any youths under the age of 18 who meet this state's minimum age for employment may work on non-construction site projects and may help with preparation for the build day if they have received written approval from a parent for participation. Any children under the state's minimum age for employment will not be supervised in any way or be allowed to participate in this construction project, although there may be organized children's activities not on the construction site.

I understand that I will be spending the day as a volunteer for the Project and will be participating at my own risk. I acknowledge that my participation is voluntary and does not constitute a condition or requirement of employment. I further acknowledge that the Project will occur at a construction site and that the construction site will be a potentially dangerous place. I attest that I am physically fit and prepared for this event.

I will not create an unsafe situation for other individuals, or myself nor will I use any tool or engage in any task with which I am not completely comfortable. I will abide by all applicable federal, state and local laws, as well as the rules and directions of the sponsors and coordinators. If I see any situation that I feel is unsafe, I will immediately call it to the attention a safety coordinator. If I bring any children or young adults with me to participate in the Project, I will be solely responsible for providing for their safety and will keeping them under close supervision at all times. FOR EACH PARTICIPANT BETWEEN THE AGES OF 14 AND 18, THE PARENT OR GUARDIAN MUST FILL OUT A SEPARATE WAIVER. I understand that a volunteer may be at the Project to provide medical treatment in the event of an injury and to assist in arranging transportation to nearby medical facilities if necessary. No child under 8 should be brought to the site.

lf of myself, as well as my heirs, executors, administrators and assigns, I hereby forever release, discharge, waive and agree to indemnify and hold harmless Grand Prairie Parks & Recreation (P3) and any sponsors and organizers of the Project, along with their respective officers, directors, agents, employees, contractors, successors and assigns, and any volunteers to whom I give my consent to provide medical treatment to me or to any children or young adults under my supervision, from and against any and all claims, demands, actions, causes of action, obligations, liabilities, suits, losses, damages, costs, expenses, and fees, including, without limitation, court costs and attorneys' fees, of any and every nature of character, including, without limitation, for death, personal injury and/or loss of property, whether anticipated or unanticipated, directly or indirectly arising out of or connected in any way with my participation in the Project.

Finally, I hereby grant the Grand Prairie Parks & Recreation (P3) full and complete permission to use in legitimate promotions of the Project photographs of me and quotations from me.
 
Attire: No loose strings on clothing, no flip flops, or open toed shoes will be allowed. Expect to get dirty!

Volunteers are urged to report to the Charley Taylor Recreation Center no later than 8 a.m. on the morning of April 4th. To print a hard copy of the Playground Project Volunteer Waiver & Release, click here.
I have read the foregoing Playground Project Volunteer Waiver and Release and the following statement is true and correct: (required!)
Date of Playground Build: (required!)
Location of Playground Build: (required!)
Last Name: (required!)
First Name: (required!)
Address Line 1 (required!)
Address Line 2:
City (required!)
State (required!)
Zip Code (required!)
Primary Phone: (required!)
E-mail: (required!)
Are you a Grand Prairie City staff member? (required!)
Yes    No
I am here to volunteer from: (required!)
If You Are a PTA Volunteer, Please Tell Us What School You Are Affiliated With
I have experience in the following field(s):
A Mechanical Field
Assembly
Carpentry
Engineering
General Contractor
Landscaping
Metalwork
Playground Construction
Supervisor/Foreman
Working with Concrete
Please list any other skills you have which you feel would help us on this playground build project:
My T-shirt size is: (required!)
If you are interested in more information on group sponsorships of, or participation in, the P3 program, please let us know, and we will contact you:
Will you be bringing children between the ages of 8 and 14 years old? (required!)
Yes    No
If you will be bringing children between the ages of 8 and 14 years old, please list the number of children and their ages here:
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the number you see here: 2

Park and Recreation Department
P.O. Box 534045 Grand Prairie, TX 75053-4045
Office 972-237-8100 Fax 972-237-8267
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