Williamsburg Botanical Garden Volunteer Application
Williamsburg Botanical Garden Volunteer Application
CONTACT INFORMATION
DATE
Name
Address
City / State
Zip Code
Telephone (h)
(c)
(w)
Email Age Range
under 12
12-17
18-24
25-54
55+
How did you hear about WBG?
Have you been referred to volunteer by a court order? Yes
No
PROGRAM INTERESTS Communications Photo Team
Development Special Events
Education Administrative
Garden Crew Board Member
GARDENING SKILL & KNOWLEDGE LEVEL Beginner VCE Master Gardener
Intermediate Master Naturalist
Advanced Advanced Education
AVAILABILITY
SUN
MON
TUES
WED
THUR
FRI
SAT
Morning
Afternoon
SPECIAL SKILLS or TALENTS
PROVIDE TWO REFERENCES
Name 1
Email
Name 2
Email
Relationship Phone Relationship Phone
Mail to: WBG Volunteers - P.O. Box 1577, Williamsburg, VA 23187-1577 OR Scan your completed form and email to WBGvolunteers@
Volunteer Application, Waiver Agreement, Emergency Info - v: 05-23-2019
Waiver and Release of Liability and Indemnification Agreement between Volunteer and the Williamsburg Botanical Gardens
This waiver and release of liability and indemnification agreement is between the Volunteer or the Volunteer's guardian and the Williamsburg Botanical Garden (hereafter referred to as "WBG"), 5537 Centerville Road, Williamsburg, VA 23188, and its directors, officers, members, employees, agents, assigns, legal representatives, and successors. This agreement applies anytime the Volunteer undertakes or expresses a willingness to undertake a service at or for WBG.
As a volunteer who is 18 years or older, or as the parent or guardian of a volunteer younger than 18, I understand and agree to the following: I WAIVE and RELEASE WBG from any and all liability, claims or demands for any reason of illness, death, damage, loss, or injury to my person and property that has been or may be sustained as a direct or indirect consequence of volunteering at or for WBG regardless of whether that damage, death, illness, loss or injury may have been caused wholly or partly by the negligence of WBG or some other party. I agree to indemnify WBG for any and all liability claims, demands or costs that WBG may incur as a result of my volunteering or the minor for whom I am responsible volunteering for WBG.
By signing this application, I grant WBG the irrevocable and unrestricted right to use and publish photographs of me or of the minor for whom I am responsible, or photographs in which I or the minor for whom I am responsible may be included, for promotional purposes in any manner and medium without my inspection or approval. I release WBG from all claims and liability related to those photographs.
I acknowledge and agree that I have carefully read this Agreement, that I fully understand it, and that I freely sign it. I understand that I may seek independent advice prior to signing this Agreement. I understand this Agreement is binding on me, my executors, administrators, personal representatives, and assigns and that this Agreement has important legal consequences. The terms of this Agreement are contractual and not mere recitals. This Agreement will be governed by the laws of the Commonwealth of Virginia.
Signature
Date
Printed Name:
Signature of Parent or Guardian if under 18 years old
Date
Printed Name of Parent or Guardian:
Mail to: WBG Volunteers - P.O. Box 1577, Williamsburg, VA 23187-1577 OR Scan your completed form and email to WBGvolunteers@
Volunteer Application, Waiver Agreement, Emergency Info - v: 05-23-2019
VOLUNTEER INFORMATION
DATE
Name
Address
City / State
Zip Code
Telephone (h)
(c)
(w)
Age Range under 12
12-17
18-24
25-54
55+
LIST ANY MEDICAL CONDITION OR ALLERGY WE SHOULD KNOW ABOUT IN CASE OF EMERGENCY:
EMERGENCY CONTACT INFORMATION Name Relationship Telephone Primary number to call:
Additional number(s) to call:
Name Relationship Telephone Primary number to call:
Additional number(s) to call:
Mail to: WBG Volunteers - P.O. Box 1577, Williamsburg, VA 23187-1577 OR Scan your completed form and email to WBGvolunteers@
Volunteer Application, Waiver Agreement, Emergency Info - v: 05-23-2019
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