Walk to the Future Silicon Valley

Walk to the Future, Silicon Valley

Saturday May 28, 2016 - 10am - 11am
Penetencia Creek Park, San Jose, 3050 Berryessa Rd, San Jose, CA 95132
In Conjuction with San Jose F.O.A.M. Festival Festival of Arts & Musique
Presented by Opening Doors 2020, a not-for-profit 501(c)3 corporation

Walk - Volunteer

Our Goal: To build a massively fun FUNraiser and FUNDraiser for many local schools and education projects.
Walkers register, then can raise pledges online that will be credited to THEIR favorite nonprofit cause.

Thank you for volunteering to help us at the May 28, 2016 Walk To The Future Silicon Valley in Penetencia Creek Park, San Jose.

To register to volunteer at the walk, please fill out this form. All fields are required.
All information is held in the strictest confidence.

Name:

First name: Last name:

* *

Your contact info:

Phone:*

E-mail:*

Street Address:
*

City:
*

State:
* Zip:*

Your Age
* years

Are you volunteering with a group? *
Example: Cisco, ACS, Special Olympics, etc.

Have you volunteered at a Walk To The Future Silicon Valley event before? If so, what was your assignment?
Previous volunteer assignment (if any)

What is your T-Shirt size? *
Adult Sizes *
Small   Medium   Large   1-X 2-X

Comments? Example: Do you have special abilities to contribute, or physical limitations that might limit your ability to do some volunteer tasks?

RELEASE OF LIABILITY - READ BEFORE SIGNING

In consideration of being allowed to participate in any way in the Walk To The Future Silicon Valley, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:

1.    The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2.    I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3.    I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately: and,

4.    I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Walk To The Future Silicon Valley producer and Opening Doors 2020, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Type your full name here if you are in agreement with the liability waiver (parent or legal guardian if participant is under 18):
*

MEDIA RELEASE

I hearby authorize and give my full consent to Walk To The Future Silicon Valley to copyright and/or publish any and all photographs, videotapes, and/or film in which I appear while attending Walk To The Future Silicon Valley events/activities. I further agree that Walk To The Future Silicon Valley may transfer, or cause to be used these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes and television programs without limitations or reservations.
Type your full name here if you are in agreement with the liability waiver (parent or legal guardian if participant is under 18):
*

Note: We reserve the right to deny service to any person or organization at our sole discression.

Questions? Email Walk To The Future Silicon Valley walkforyouth@regathon.com

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