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VOLUNTEER SERVICE AGREEMENT

I will comply with all policies, rules, regulations, directives, and instructions. I understand that instructions for safety will be given before each project is started. I understand I am an unpaid volunteer for Marin Water. I have read and agree to the following policies and conditions:

- I understand that this program may involve physical labor (e.g., manual pulling of non-native plants, trail maintenance, hiking, etc.). I understand that the event will take place outdoors where natural hazards, such as poison-oak, uneven terrain, and changing weather may be encountered. Marin Water staff will try to minimize the participant’s exposure to such hazards and will provide safety instructions before each project is started.

- I understand that Marin Water holds its volunteers to the highest standards of personal behavior and any behavior that the District finds unacceptable is grounds for the immediate ending of the volunteer’s participation. Marin Water, its partner agencies, its staff members, and volunteers can take photographs of the volunteer in connection with this program.

- Marin Water and its partners may use and publish these photos in print and/or electronically for the purposes such as publicity, advertising, and internet content.

- I agree to hold harmless, defend and indemnify Marin Water, its officers, agents, employees, partners, and volunteers from any and all liability and claims of any kind, including attorney’s fees and costs, arising out of or in connection with Marin Water activities and my volunteer activities for that program. Marin Water reserves the right to end a volunteer’s service at any time.

First VOLUNTEER Name

First Name*

Last Name*

Phone*
First VOLUNTEER Age Acknowledgment*
First VOLUNTEER Date of Birth*
I certify that I am 18 years of age or older
First VOLUNTEER Signature*
Second VOLUNTEER Name

First Name*

Last Name*

Phone*
Second VOLUNTEER Date of Birth*
Third VOLUNTEER Name

First Name*

Last Name*

Phone*
Third VOLUNTEER Date of Birth*
Fourth VOLUNTEER Name

First Name*

Last Name*

Phone*
Fourth VOLUNTEER Date of Birth*
Fifth VOLUNTEER Name

First Name*

Last Name*

Phone*
Fifth VOLUNTEER Date of Birth*
Sixth VOLUNTEER Name

First Name*

Last Name*

Phone*
Sixth VOLUNTEER Date of Birth*
Seventh VOLUNTEER Name

First Name*

Last Name*

Phone*
Seventh VOLUNTEER Date of Birth*
Eighth VOLUNTEER Name

First Name*

Last Name*

Phone*
Eighth VOLUNTEER Date of Birth*
Ninth VOLUNTEER Name

First Name*

Last Name*

Phone*
Ninth VOLUNTEER Date of Birth*
Tenth VOLUNTEER Name

First Name*

Last Name*

Phone*
Tenth VOLUNTEER Date of Birth*
VOLUNTEER Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check this box if you would like to receive monthly emails from Marin Water about upcoming volunteer opportunities on the Mt. Tam Watershed.
Volunteer Information

Organization or School
VOLUNTEER PROGRAMS
Which program are you interested in volunteering for? Please note, that this does not mean that a person has to sign a permission slip for each separate program, but this will help us file the forms appropriately. *
Frog Docent
Habitat Restoration
Litter Abatement
Trail Stewardship
Turtle Observer
Watershed Ambassador
Other
PARENTAL PERMISSION I, the parent/guardian of the above participant, do hereby give my permission for this youth to participate in Marin Water’s Volunteer Program. I understand that the program will have competent adult supervision and appropriate measures will be made to minimize the risk of injury. I understand that my signature acknowledgesthat this applicant is in good health and gives my consent for Marin Water to arrange for emergency medical care and/or treatment that may be necessary for my child. I agree to hold harmless, indemnity and defend Marin Water its officers, agents and employees from any and all liability arising out of or as a result of my child’s participation in the Volunteer Program. Parent/Gaurdian Name Other Emergency Contact or Physician [signature] [date]


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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