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2022 Outdoor Murfreesboro Volunteer Registration and Liability Waiver

  1. OUTDOOR MURFREESBORO LOGO
  2. This is the City logo
  3. 2022 Volunteer Event Registration and Liability Waiver Form

    This waiver covers all volunteer activities between January 1, 2022 and December 31, 2022, for the Outdoor Murfreesboro division of the Murfreesboro Parks and Recreation Department. Participants you name on this form will not need to fill out another waiver until January 1, 2023.

    Please fill out this form, print it, sign it, and bring it with you to the event. We will have extra waivers that you can fill out on-site in case you forget, but it will be easier and faster for everyone if you bring one that's already filled out. :)

    Participants under 18 must have this form signed by a parent or guardian.

    GROUPS: Each family must submit their own form(s).

    If you prefer, you can print a hard copy of this form, or our 1-page PDF - to fill out and bring with you.

  4. You don't have to provide an email address, but it makes it easier for us to contact you! Please double-check your email address for typos.
  5. Email Permission*
    May we occasionally email you with information about other volunteer opportunities from Outdoor Murfreesboro?
  6. Your address is not required, but it is helpful.
  7. Please provide a phone number so we can notify you of any last-minute changes.
  8. May we send text messages to this number?*
    This would only be used to send you information about an event for which you have registered.
  9. A little backup...
  10. May we send text messages to this number?*
    This would only be used to send you last-minute information about an event for which you have registered.
  11. Just in case...
  12. Will you be bringing any minor family members to volunteer for the event?*

    Please list participating minors in your family. Parent/Guardian signature is required on the liability waiver, below, for minors.

  13. Are you 18 or older?*
  14. Name of the parent or guardian for all minors named on this form.
  15. Name of the parent or guardian for all minors named on this form.
  16. On the day of the event

  17. Add a 2nd minor
  18. On the day of the event

  19. Add a 3rd minor
  20. On the day of the event


  21. Add a 4th Minor
  22. On the day of the event

  23. Add a 5th minor
    (Please use a second form if you are bringing more than 5 participants under the age of 18.)
  24. On the day of the event


  25. 2022 CITY OF MURFREESBORO VOLUNTEER WORKER LIABILITY WAIVER*

    UNDER STATE LAW, THIS DOCUMENT IS A PUBLIC RECORD

    WAIVER AND RELEASE OF LIABILITY & HOLD HARMLESS AGREEMENT

    PLEASE READ CAREFULLY

    In consideration for permission to participate as a volunteer in one or more City of Murfreesboro (“City”) public service projects between January 1, 2022, and December 31, 2022, for the Murfreesboro Parks and Recreation Department, Outdoor Murfreesboro Division, I agree as follows:  

    1. I have considered and evaluated the risks, danger and possibility of injury resulting from my or my child/ward’s participation as a volunteer performing a public service project for the City of Murfreesboro.

    2. I know and understand foreseeable and unforeseeable injuries from common or unexpected sources could occur from the actions of myself or my child/ward, other participants, the City, its employees or volunteers, and other persons involved in this public service project.

    3. I deliberately and knowingly assume all costs, risks of injury and/or other damages including but not limited to cost of my medical treatment, permanent injury or death, and my property damages resulting from my or my child/ward’s participation in the public service project. I waive, release and hold harmless the City, its employees, volunteers, and agents from all legal and financial responsibility and from all costs, injuries and/or other damages for myself and or my child/ward (including but not limited to, cost of medical treatment, permanent injury or death, and property damage) which might occur while I or my child/ward is participating in the public service project.

    4. If I am not present, or if present and am not able to make decisions, I authorize the City, its employees, volunteers and/or contractors to obtain or provide any first aid or other medical treatment which they deem necessary for me at my expense and this is subject to the waiver, release, assumption of costs, risks and hold harmless, etc., as set forth in paragraph 3.

    5. I give my permission to the City of Murfreesboro for any photos or video footage of myself and/or child/ward taken during the course of this public service project to be used for educational, promotional, or any other purpose by the City of Murfreesboro.

    6. I represent that I am the parent/legal guardian of the child(ren) participating in this public service project and I give permission on behalf of myself and any other parent/legal guardian for this child to participate in in this public service project.

    7. I agree that in the event of any lawsuits arising from this agreement of this sport or activity, jurisdiction and venue shall be in the courts of Rutherford County, Tennessee.

    8. This form must be signed by each participant named who is 18 or older and by the parent or guardian of each participant named who is under 18 years old.

  26. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  27. Add a 2nd participant age 18 or older.*
  28. Email Permission*
    May we occasionally email you with information about other volunteer opportunities from Outdoor Murfreesboro?
  29. May we send text messages to this number?
    This would only be used to send you last-minute information about an event for which you have registered.
  30. Liability Waiver Agreement*
    I have read and agree to the CITY OF MURFREESBORO VOLUNTEER WORKER LIABILITY WAIVER terms on this form.
  31. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  32. Leave This Blank:

  33. This field is not part of the form submission.