Volunteer Opportunities -

Contact Information

First Name *

Last Name *

Email *

Phone *

Preferred Method of Contact (text, email)

Volunteer Info

Are you with a group? (I.e friends, work)

Yes

No

If so, what group are you with?

Will any minors be joining you?

Yes

No

Are you interested in being contacted for special future farm projects?

Yes

No

Which days/times do you wish to volunteer? *

Office Groups ONLY-please state your preferred date/time

Individuals/friend groups ONLY-please select your availability:

One time-please state dateOne time-please state date

Weekly

Bi-weekly

Monthly

Are you allergic to bees? *

Yes

No

Not Sure

Please let us know if you have any physical limitations so our staff can match you with the best farm tasks.

Emergency Contact

Emergency Contact Name *

Phone *

Volunteer Waivers

*

I hereby agree to participate as a volunteer on the Victory Garden Urban Farm and perform activities including, but not limited to, digging, lifting, carrying, mulching and moving soil. I understand that my participation in this activity with Victory Garden Initiative is completely voluntary. It is my judgment that I am fully capable to participate in these volunteer activities from both a physical and emotional standpoint.

*

I understand that due to the physical activities, some of which are strenuous, there is a risk that I may be injured while participating in the project. I hereby acknowledge that should I sustain an injury or illness in connection with my volunteer activities, I will not be afforded any form of medical insurance or workers’ compensation benefits. I fully understand the type of activities which will be taking place during my activities on the farm and agree with and consent to all of the terms for participation set forth and presented to me at the time of my orientation.

*

I agree to release and forever discharge Victory Garden Initiative, their officers, agents, employees and representatives from any and all liability claims or demands that might arise out of or in connection with: 1) any accident, illness, injury or other consequences or event arising from my participation in this project, or 2) any cause beyond the control of Victory Garden Initiative including, but not limited to, natural disasters, civil disturbances, and weather.

Media Release

I do hereby grant and convey unto Victory Garden Initiative all rights, title, and interest in any and all photographic images and video or audio recording made by Victory Garden Initiative during my volunteer activities with VGI, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Release for Minor *

I do hereby release Victory Garden Initiative of any and all potential injuries to my child or the child under my care during their visit to Victory Garden Initiative.

Media Release for Minor

I do hereby grant and convey unto Victory Garden Initiative all rights, title, and interest in any and all photographic images and video or audio recording of my child or the child under my care made by Victory Garden Initiative during my volunteer activities with VGI, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

Signature *

Clear