Workday Volunteer Participation Agreement

Name of Participant

First Name

Last Name

Name of Parent/Guardian

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Cell Phone

(###)

###

####

Home Phone

(###)

###

####

Work Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

I authorize Camp Eagle to approve medical treatment in the event of an emergency.

Is the participant covered by personal/family medical insurance?

If yes, name of the insurer.

Policy or group number.

Permission, Release & Assumption of Risk and Indemnity Agreement:

By volunteering for a Camp Eagle Workday, I am aware of the risks associated with workday activities including the machinery/equipment involved. These activities include, but are not limited to: carpentry, construction, painting, chainsaw work, mowing, weed eating, landscaping, cleaning, foodservice, electrical work, ditch digging and heavy lifting.

Since my personal safety is of the utmost importance to the Camp Eagle Staff, I agree that once made aware of the rules, regulations, and standards as set forth by the Camp Eagle Staff, I will abide by them or accept dismissal from Camp Eagle property.

I do hereby assume all risks and will hold Camp Eagle and its sponsoring organization, Shenandoah Baptist Church, (along with all employees or agents of Camp Eagle and Shenandoah Baptist Church), harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with my participation in the activities arranged for me and/or others by Camp Eagle. The terms hereof shall serve as a RELEASE AND ASSUMPTION OF RISKS and INDEMNITY for my heirs, executors, and administrators and for all members of my family.

If the participant is a minor, the undersigned parent or guardian gives permission for said minor to participate in events and activities sponsored by Camp Eagle and accepts all risks as stated above.

Parent/Guardian Electronic Signature:

By typing your name below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. You consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E - Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E -Signature or any resulting contract. You also represent that you are authorized to enter into this Agreement.

Date

YYYY

Date Volunteering