Credit Union Cherry Blossom Course Maps

Volunteer

Cherry Blossom Ten Mile: Volunteer Form

Optional Volunteer Registration Code

Please Note: If you were provided with a volunteer registration code, please enter it to the right and submit before continuing.
If you do not have a code, please continue with the registration below.
Enter registration code, if applicable.

General Volunteers (online form below):
Note: Highlighted fields are required.

Volunteer Information
First Name:
Last Name:
Middle Initial:
Address:
City:
State or Province:
Zip Code:
Country of Residence:
Day Phone: (include area code)	(e.g. 703-555-1212)
Night Phone: (include area code)
Email Address:
Confirm Email Address:
Fax (include area code):
Gender:	M F
Age on Race Day:	13-17 18 and up
T-Shirt Size:	S M L XL (adult sizes only)
Emergency Contact (Name & Phone):

Experience/ Comments
Previous volunteer experience (marathons or other race), please describe:
Other Comments:
Volunteer Job Information
Name of running club(s) or organization(s) to which you belong (if applicable):
Would you like to be a group captain?	YesNo

Please select the job(s) where you would plan to work.
Every effort will be made to assign you to all of your choice(s).
Note: If you chose an organization above, you will be assigned with that organization and choices below will be in addition to the organization assignment.

WAIVER

PLEASE READ CAREFULLY BEFORE SUBMITTING. NOTE THAT FAILING TO AGREE PRECLUDES YOUR PARTICIPATION AS A VOLUNTEER.

Volunteer's Agreement, Waiver, Release and Acknowledgement:
I, for myself as well as for my heirs, executors, administrators, trustees, and assigns, hereby waive and release any and all rights and claims for any fatality injuries and/or damages, including, but not limited to, demands or actions for negligence, premises liability, emotional injury, intentional conduct, tort claims, and any other actions or demands of whatsoever nature I have or may have in connection with my participation as a volunteer in the Cherry Blossom Ten Mile against all sponsors of the Cherry Blossom Ten Mile and otherwise agree to hold these entities harmless. I acknowledge that I am aware of the inherent risks (physical and otherwise) involved in volunteering for the event and I voluntarily assume these risks. I further attest and certify that I am physically capable of performing the tasks required for the volunteer job(s) I have selected.

Name of Parent/Guardian:
required if volunteer is under 18
By entering my name above, I represent that I, as a valid parent/guardian,
am completing this form and agree to the above waiver/release.

I Agree