VOLUNTEERS NEEDED! SATURDAY, OCTOBER 5, 2024 PRIEN LAKE PARK 3700 W Prien Lake Rd, Lake Charles, LA 70605 First Name: Last Name: Email: Phone Number: Your Age Would you like to receive text messages about your volunteer duties? - Select -YesNo Shirt Size - None -SmallMediumLargeX-Large2X-Large3X-Large4X-Large Which Shift are you available to work? 4:00AM - 7:00AM [0 remaining] × Warning message Which Shift are you available to work? is not available In order to comply with licensing, volunteers must not be under the influence of alcohol during their event duties. Illegal drugs/substances are not permitted anywhere on site. If you bring into, or hold or consume at Smoke & Barrel any illegal substances you will immediately be removed from site. - initial below: Initials The Privacy Policy Applies: Liability Release: I hereby release and hold harmless United Way of Southwest Louisiana, the agency where I volunteer, and sponsors and supervisors of all activities, from any and all liability for any injury I may suffer (including any injury caused by negligence) in conjunction with the volunteer activity. I also certify that I am in good health and able to participate in the program activities. I certify that I am 18 years of age or older and am competent to contract my name as far as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my initials below and warrant that I fully understand the contents thereof. Initials Communications Release: I hereby waive any claim to the rights of photographic recordings made of me during United Way of Southwest Louisiana's volunteer activity. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recordings for purposes deemed suitable by United Way of Southwest Louisiana. I hereby waive any right to approve the finished products. I certify that I am 18 years of age or older and am competent to contract my own name as far as the above is concerned. I have read the foregoing release, authorization and agreement, by accepting I fully understand the contents thereof. Initials COVID-19 AGREEMENT & WAIVER I understand that United Way of Southwest Louisiana is a trusted, community organization committed to serving people in need; therefore, I attest that I am not experiencing any symptoms of illness such as a fever or cough. Furthermore, I aware that I am expected to adhere to the safety and hygiene protocols that have been implemented by United Way of Southwest Louisiana including but not limited to Washing hands frequently with soap and water for at least 20 seconds especially before and after your volunteer shift, blowing your nose, coughing or sneezing. • If soap and water are not readily available, I agree to use provided hand sanitizer that contains at least 60% alcohol. • Cover your mouth and nose with a tissue or use the inside of your elbow when you cough or sneeze and to throw used tissues in the trash. • Waving to friends or acquaintances rather than hugging or hand shaking. Initials Security Question: What color is the sky? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank
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