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Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.First Name *
Last Name *
Mobile Phone
For example, 123-456-7890
Street Address
City
State
Zip Code
Are you new to volunteering with Centrum? If yes, Welcome! If no, Welcome back! *
What is your birthday? This field is not required. Also, if you don't feel comfortable putting in your birth year, feel free to put the random year of 2000. :)
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Emergency contact: name, relationship, phone number and email
Please select any Event related role you may be interested in, which requires minimal training:
From the roles above, indicate which ones you have completed the required training for:
Please select any other Event Related roles you might be interested in which do not require training:
Please select any Non Event related roles you may be interested in:
Please select your flexibility regarding:
Waiver
Although our very best efforts are made to maintain a safe working environment at all times, accidents can happen. We want you to be aware of this and to take every precaution to avoid risk of injury. For insurance and liability purposes we ask that you sign the following release agreement:
I agree to indemnify and hold harmless Centrum, Fort Worden State Park, and the City of Port Townsend from any and all losses, claims, damages, and expenses suffered or alleged to be suffered while performing agreed upon services. I agree to let Centrum photograph or record my activities at various events (festivals, performances, workshops, etc.) for promotional purposes.
Although our very best efforts are made to maintain a safe working environment at all times, accidents can happen. We want you to be aware of this and to take every precaution to avoid risk of injury. For insurance and liability purposes we ask that you sign the following release agreement:
I agree to indemnify and hold harmless Centrum, Fort Worden State Park, and the City of Port Townsend from any and all losses, claims, damages, and expenses suffered or alleged to be suffered while performing agreed upon services. I agree to let Centrum photograph or record my activities at various events (festivals, performances, workshops, etc.) for promotional purposes.
Check here to show you accept the terms stated above for yourself or for a minor volunteer for which you are a parental guardian.