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2. Volunteer Application

   Please complete this application form if you are interested in becoming a Fair Oaks Recreation and Park District volunteer. Once you complete the form, click the submit button at the bottom.

4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Home Phone Number*
14. Cell Phone Number
18. Areas of Interest*

    Please indicate areas in which you would like to volunteer, choose as many as you would like.

    1. District Office
    2. Parks
    3. Special Events
    4. Sports
22. T-Shirt Size*
    -- Select One --Adult XXLAdult XLAdult LAdult MAdult SYouth LYouth MYouth S
26. Gender*
    -- Select One --FemaleMaleNon-binaryTransgenderPrefer not to say
27. Are you over the age of 18?*
    -- Select One --Yes, I am over 18 years of ageNo, I am not over the age of 18
28. Date of Birth*
    Date of Birth
30. Full Name of Parent or Guardian*
31. Relationship of Parent or Guardian*
32. Phone Number of Parent or Guardian*
36. Emergency Contact Information
38. First Name*
39. Last Name*
41. Home Phone Number*
42. Cell Phone Number*
44. Relationship*
    -- Select One --SpouseFriendFamily MemberMother/FatherDaughter/SonOther
48. Background

    Section 5164 of the Public Resources Code of the State of California prohibits the Fair Oaks Recreation and {Park District from hiring a volunteer to perform services at any of it's parks, playgrounds or recreational centers used for recreational purposes in a position having supervisory or disciplinary authority over any minor, if the person has been convicted of certain crimes under the California Penal Code. Section 5164 also authorizes Fair Oaks Recreation and Park District to screen any such prospective volunteer for his or her criminal background.

50. Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana related offenses that are more than two years old need not be listed).*
    -- Select One --NoYes
51. If yes, state the nature of the crime(s), when and where convicted and disposition of the case.
55. Workers Compensation Insurance*

    In the event of an injury that required medical care, volunteer is covered under Fair Oaks Recreation and Park District's Workers Compensation Insurance.

    
    

    In the event I am injured I will immediately report injury to a Fair Oaks Recreation and Park District staff member. I acknowledge I am covered under Fair Oaks Recreation & Park District's Workers Compensation Insurance.

    1. Yes
    2. No
59. Waiver and Release of Liability
    I understand and agree that submitting this application form does not automatically register me as a volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

    By submitting this form, I attest that the information I have provided on the form is true and accurate.

    In consideration for being permitted by the above District to participate in the above activity(ies), I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activity(ies). This release is intended to discharge in advance the above District (its officers, employees, and agents) from any and all liability arising out of or connected in any way with my participation in said activity(ies), even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that this activity involves an element of risk and danger of accidents and knowing those risks I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding by my heirs and assigns. I agree to indemnify and to hold the above persons or entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as a result of my death or any injury or property damage that I may sustain while participating in the said activity(ies).
61. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE DISTRICT AND I AGREE TO IT OF MY OWN FREE WILL.*

    1. I agree
63. Electronic Signature*
65. 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.

    1. I agree.
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field