Credit Union Cherry Blossom Course Maps

Volunteer

Cherry Blossom Ten Mile: Volunteer Form

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.

---Sunday, April 5, 2009---

Sunday, April 5

Medical Tent (0)
- 6:30AM - 11:00AM

Lead "runner" for Childrens run (0)
- 7:30AM - 8:45AM

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