Utah JA Family Day 2014 Volunteer Application

Thank you for your interest in volunteering at the Utah JA Family Day October 11, 2014 at the Loveland Living Planet Aquarium in Draper, UT. Please contact Katie Levine at klevine@arthritis.org or 406-203-3019 with any questions.
 
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* What type of volunteer position do you want at JA Day?
 
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* What is your t-shirt size?
* Harassment: The events policy is to prohibit all forms of harassment by our volunteers. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: A prior accusation is not an automatic bar to participation. The camp will evaluate the type of accusation and when it occurred before any decision is made). If yes, please explain.
 
* Criminal Record: Have you ever been convicted of a crime, other than minor traffic offense(s)? (Note: a prior conviction is not an automatic bar to participation. The camp will evaluate the type of conviction and when it occurred before any decision is made). If yes, please explain.
 
* Please read the following release clauses and sign below:

1. In consideration of this application to participate in the Arthritis Foundation’s JA Program being accepted, I hereby waive and forever discharge the sponsors, organizers, affiliates as well as their agents and employees from any and all claims that may occur as a result of my/my family’s participation. I understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery.

2. I hereby grant the Arthritis Foundation specific permission to reproduce, publish, circulate, copyright, or otherwise use any and all photographs and/or videotape of me and/or my family taken at this JA Program for use by the Arthritis Foundation.

3. I understand that the Arthritis Foundation and the facility retain the right to enforce the rules of the JA Program and the facility and if necessary send home anyone infringing on the rights or safety of others.

4. I understand that the Arthritis Foundation, JA Program, and the facility DO NOT carry accident insurance for the child or adult participants or volunteers. I will be held responsible for providing my own insurance/medical coverage, if need be, for myself and all members of my family. Please sign below:

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