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2. Thank you for your interest in volunteering with the City of Goodlettsville. All volunteers are required to fill out a Volunteer Application before volunteering within the City. The City of Goodlettsville is an equal opportunity employer and considers volunteers without regard to race, religion, gender, national origin, age, disability or any other legally protected status.

4. Volunteer Contact Information
6. First Name*
7. Last Name*
9. Address*
11. City*
12. State*
13. Zip*
15. E-mail*
16. Phone*
18. Date of Birth*
    Date of Birth

    Volunteers must be at least 12 years of age. Volunteers 17 years of age or younger must be adequately supervised by one or more adults.

19. Social Security Number*

    1. I agree

    I understand that in some circumstances I may be asked to provide my SSN after my application is approved.

23. Emergency Contact Information
25. First Name*
26. Last Name*
28. Relation*
29. Phone Number*
33. Event/Program Information
35. Event/Program*
    -- Select One --Christmas ParadeCommunity ServiceDaddy Daughter DanceFamily Bingo NightFarmer's MarketGhost and Lantern TourGoodDOG Doggy Egg HuntGOODFest & Fall or Spring MarketsHalloween in the ParkHeritage DaysHistoric Mansker's Station Master GardenersMother & Son Night of FunSanta's Holiday PartySenior ProgramTouch a TruckYulefestOther

    Please select the event in which you are volunteering.

36. Other
    If you selected other, please specify.
40. Agreement and Release of Liability
42. Authorization/Agreement*
    By my signature below I certify that all of the information and statements provided by me in and with this application are true and correct. It is understood and agreed upon that any misrepresentation or omission by me in this application will be sufficient cause for cancellation of this application and forfeiture of my opportunity to volunteer with the City of Goodlettsville.
44. Release of Liability*
    In consideration of being allowed to participate as Volunteer for the City of Goodlettsville, I acknowledge that working on municipal projects may be unintentional hazardous activities and I assume all risks associated with this volunteer opportunity. I waive all claims for damages against the city and against its officers, agents, and employees for injury to my person or property, including death and destruction that may arise from activities. I further understand that I am working as a volunteer, not an employee, and I am not entitled to any compensation for the volunteer activities I perform. I release the city and its officers, agents, and employees and agree to hold them harmless from any such liability.
46. 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.

    1. I agree
48. Electronic Signature*
49. Date*
    Date
53. Parental Consent (if applicable)
55. If the volunteer is under the age of 18, a parent must complete the form below:
    Volunteers under the age of 18 must have parental consent. All legal guardians must sign/initial application form accordingly.
57. Parental Consent and Release of Liability (if applicable)
    In consideration of our child being allowed to participate in a Volunteer capacity for the City of Goodlettsville, we acknowledge that working on municipal projects may be unintentionally hazardous. Nevertheless, we grant permission for our child to participate in this activity and assume all the risks associated with this work. We waive all claims for property, including death and destruction and resulting injuries and damages that may arise from this activity. We further understand that our child is working as a volunteer, not an employee, and is not entitled to any compensation for the volunteer activities he/she performs. We release the city and its officers, agents, and employees and agree to hold them harmless from any such liability. This agreement shall remain in force until we revoke it in writing.
59. Parent or Guardian Electronic Signature
60. Date
    Date
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field