Name (required)

    Address (required)

    City (required)

    State (required)

    Zipcode (required)

    Email (required)

    Cell Phone Number (required)

    Parent or Guardian (if under 18 years old)

    Company or Volunteer Group Name

    If student, name of school/organization

    Since your 18th birthday, have you ever been convicted of a crime – excluding violations of the motor vehicle laws?

    If so, what was the nature of the crime, including the date and location of the conviction?

    Areas of Interest:

    First FridaysSummer MoviesBBQ BashOffice SupportOther

    Emergency Contact Information

    Emergency Contact #1 Name

    Emergency Contact #1 Phone

    Emergency Contact #1 Relationship

    Emergency Contact #2 Name

    Emergency Contact #2 Phone

    Emergency Contact #2 Relationship

    Photo Release
    I consent to and authorize the use and reproduction by Bel Air Downtown Alliance, Inc. of any and all photographs and any other audio-visual materials taken of me while volunteering for promotional, educational, social media marketing, or any other use for the benefit of the Alliance.

    Name:

    Date:

    Volunteer Agreement and Release from Liability

    1. As a volunteer for the Bel Air Downtown Alliance, Inc. I agree to work during my scheduled time as agreed. I understand that I will not be compensated for any time spent volunteering, nor am I entitled to benefits, including employment insurance benefits upon the termination of this agreement or as a result of this service. The Bel Air Downtown Alliance, Inc. may terminate this agreement at any time without prior notice for any reason.

    2. I am aware that participation as a volunteer may require periods of standing, lifting and carrying objects or items (i.e. tables/chairs) and will require the exercise of reasonable care to avoid injury. I am voluntarily participating in this activity with knowledge of the hazards and potential dangers involved, and agree to accept any and all risks of personal injury and property damage.

    3. As consideration for volunteering for the Bel Air Downtown Alliance, Inc., I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue the Bel Air Downtown Alliance, Inc. or its employees, agents or contractors for injury or damage resulting from the negligence, whether active or passive, or other acts, however caused, by any of its officers, employees, agents, or contractors of Bel Air Downtown Alliance, Inc. as a result of my volunteering. I agree that this release is as broad and inclusive as permitted by the laws of the State of Maryland. I hereby release and discharge Bel Air Downtown Alliance and its officers, employees, agents and contractors from all actions, claims, or demands that I, my heirs, guardians, and legal representatives now have, or may have in the future, for injury or damage resulting from my participation as a volunteer.

    4. I understand that if I am injured in the course of my volunteer time, I am not covered by Bel Air Downtown Alliance’s workers’ compensation program. I authorize Bel Air Downtown Alliance to seek emergency medical treatment including x-ray, surgery, hospitalization and medication on my behalf in the case of injury, accident or illness arising from my involvement as a volunteer. I understand that I will be responsible for medical costs incurred by such accident, illness or injury.

    5. I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined. If accepted, I agree to attend a volunteer orientation either at an orientation meeting or an onsite orientation to perform my volunteer service.

    6. I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal.

      I hereby acknowledge that I have been provided with an opportunity to consult with legal counsel
      regarding this Release of Liability Form and have not relied on any representations or statements
      of Bel Air Downtown Alliance, Inc. and its subsidiaries and affiliates and their respective agents, employees, officers, directors, shareholders, volunteers, personal representatives, successors, and assigns with respect to the subject matter of this Release of Liability Form.

    Name:

    Date: