WBG-FPA Volunteer Application

Read this Agreement and click "I Acknowledge and Agree" before entering your information to submit this Volunteer Application.

Waiver and Release of Liability and Indemnification Agreement

between Volunteer and the Williamsburg Botanical Garden,

also known as The Williamsburg Botanical Garden and Freedom Park Arboretum.

This waiver, release of liability and indemnification agreement (“Agreement”) is between the Applicant named on this form (“Volunteer”) and the Williamsburg Botanical Garden and its directors, officers, members, employees, agents, assigns, legal representatives and successors (collectively, “WBG-FPA”). This Agreement applies any time the Volunteer performs or undertakes to perform a service at, for or on behalf of WBG-FPA.

I certify that I am at least eighteen (18) years old and that I understand and agree to the following:

I agree to waive and release WBG-FPA from all liability, claims, demands or costs that may be incurred for any reason, that result from or relate to any illness, death, damage, loss or injury to my person or property that has been or may be sustained as a direct or indirect consequence of volunteering at, for or on behalf of WBG-FPA, regardless of whether such illness, death, damage, loss or injury was caused or may have been caused in whole or part by any act or omission of WBG-FPA.
I agree to indemnify WBG-FPA for any and all liability, claims, demands or costs WBG-FPA may incur as a result of my volunteering at, for or on behalf of WBG-FPA.
I grant WBG-FPA the irrevocable and unrestricted right to use or publish photographs of me or in which I may be included for promotional or educational purposes in any manner or medium without my prior inspection or approval, and I release WBG-FPA from all liability, claims, demands, or costs related to such photographs.

The terms of this Agreement are contractual and not mere recitals. This Agreement will be governed by the laws of the Commonwealth of Virginia.

By signing this Agreement via electronic submission, I acknowledge that I have read and understand the WBG-FPA Volunteer Policies and Procedures, and that I agree to abide by them.

I acknowledge and agree that I have read this Agreement and that I freely sign it. I understand that this Agreement may have important legal consequences and that I may seek legal advice before signing it. I understand that this Agreement is binding on me, my executors, administrators, personal representatives, agents, and assigns.

Acknowledge and Agree *

I Acknowledge and Agree.

Applicant's Contact Information

Applicant's Name *

First Name

Last Name

Applicant's Email *

Note: Your email address will be added to our Constant Contact database if you are not already receiving our eNews.

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Primary Phone *

This should be the phone number that you always answer.

Interests and Skills

Please tell us how you'd like to volunteer at the WBG-FPA.

What "other" type of volunteering do you have in mind? *

Special Skills and/or Expertise

Please describe any special skills and/or expertise that could help the Garden fulfill its mission.

Your Gardening Skills Level *

Beginner

Intermediate

Advanced

Your Affiliations *

Please check all that apply.

No Affiliations

VCE Master Gardener

VCE MG Tree Steward

VCE Master Naturalist

Virginia Native Plant Society Member

Garden Club Member

Herb Society Member

Academic

Other

Which Garden Club? *

Which Academic Institution? *

What is your "other" affiliation? *

References

PRIVACY NOTICE: Information you provide on this form is confidential and for the sole purpose of the WBG-FPA Volunteer Team. Your References will NOT be added to the eNews list or contacted for marketing or solicitation purposes.

Reference 1 Name *

First Name

Last Name

Reference 1 Relationship to You *

Reference 1 Email *

Verify Email *

Reference 1 Phone *

Reference 2 Name *

First Name

Last Name

Reference 2 Relationship to You *

Reference 2 Email *

Verify Email *

Reference 2 Phone *

In Case of Emergency

List any medical condition(s) and/or allergies we should know about, and who to call in case of emergency. PRIVACY NOTICE: Information you provide on this form is confidential and for the sole purpose of the WBG-FPA Volunteer Team. Your Emergency Contacts will NOT be added to the eNews list or contacted for marketing or solicitation purposes.

LIST ANY MEDICAL CONDITION OR ALLERGY YOU WANT US TO KNOW ABOUT IN CASE OF EMERGENCY

This field is not required.

Primary Emergency Contact *

First Name

Last Name

Primary Contact's Relationship to You *

Primary Contact Phone *

Primary Contact Additional Phone

Secondary Emergency Contact *

First Name

Last Name

Secondary Contact's Relationship to You *

Secondary Contact Phone *

Secondary Contact Additional Phone

Type Your Full Name as Your Electronic Signature *

By submitting this application online, I acknowledge and agree to the Waiver and Release of Liability and Indemnification Agreement between Volunteer and the Williamsburg Botanical Garden, and agree to the WBG-FPA Policies and Procedures.