One moment please...
Volunteer Application
Contact Information
*

First Name
Last Name
*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
*

*

Emergency Contact Information

First Name
Last Name

About Yourself
*

*

*
*

Liability Release

In consideration of my desire to serve as a volunteer with Venture Foundation, I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary activity of any nature, including the use of equipment and facilities of Venture. Further, I, for myself and my heir, executors, administrators and assigns, hereby release,waive and discharge Venture Foundation and its officers, directors, employees, agents and volunteers of and from any and all claims which I or my heirs, administrators and assigns ever may have against any of the above for, on account of, by reason of or arising in connection with such volunteer efforts or my participation therein, and hereby waive all such claims, demands and causes of action. Further, I expressly agree that this release,waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the State of New York, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I currently have no known mental or physical condition that would impair my capability for full participation as intended or expected of me. Further, I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own, free act.

*
*