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Name: Last First MI Address: City: State: _ Zip: Home Phone: Alt. Phone: Mobile Phone: Email Address: Emergency Contact: Phone: _ Volunteer Program: (choose one) Adopt-A-Park or Path – Location: Volunteer to Ski Recreation Volunteer Community Service Other: Please list any medical conditions that may affect your activities as a volunteer: (include allergies) Are you currently certified in any of the following? CPR 1st Aid Last 4 digits of Social Security Number: _ (for use in the event of a Workman’s Comp claim) I do NOT give permission for any photos taken of me to be used by the City of Whitefish in publications, website, and social media. I assume all risks and hazards incidental to the conduct of the volunteer work. Further I hereby release, absolve indemnify and hold harmless the City of Whitefish, employees and any or all of them for any injuries I may, or my child may sustain as a participant in these activities. Volunteers are involved at their own risk. Further I hereby grant authority to a qualified doctor to render such treatment as deemed necessary under the circumstances. Signature: Date: Volunteer Signature: Date: Parent or Guardian if under 18 years of age Signature: Date: Volunteer Application Parks and Recreation Director Submit to Parks & Recreation at [EMAIL REDACTED] or P.O Box 158 Whitefish, MT