2019 COVINA CHRISTMAS PARADE
Saturday, December 7, 2019
PARADE VOLUNTEER APPLICATION
Please Note:
- Parade volunteers must be at least 18 years old.
- Most volunteer assignments require standing and/or walking for extended periods of time.
- Please indicate Associated Group/Committee/School you are with: _______________________
Full Name:
Address:
City: Zip Code:
Home Phone: Cell Phone:
E-mail: Are you at least 18 years old? Yes ____ No ____
If you have any special needs or physical limitations that require accommodation, please explain:
Can you stand for long periods? Yes ____ No ____ Can you walk for long periods? Yes ____ No ____
Have you volunteered at a past Christmas Parade? Yes ____ No ____
If yes, list assigned area _________________________ Would you like the same assignment? Yes* ____ No ____
*Please note, selecting "yes" does not guarantee placement at the same assignment, but every effort will be made to accommodate request.
Note: Shifts are available beginning at 12 p.m. and ending at approximately 10 p.m.
Volunteer's Signature:_____________________________________ Date: ____________________
Return form to: Covina Parks & Recreation Department
Attn: Yvette Macias-Franklin
1250 N. Hollenbeck Avenue
Covina, CA 91722
For information, please contact Yvette Macias-Franklin at (626) 384-5342 or ymacias@covinaca.gov.
Indicate the time of day you are available for volunteering
(for example, 8 am-12 pm or 1 pm-7 pm, etc.)
Can you lift up to 25 pounds? Yes ____ No ____
Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement
In and for consideration of volunteering for the Covina Christmas Parade and all associated activities included in the Parade provided
to the undersigned with the sole intent and understanding to volunteer, the undersigned his/her heirs, agents, employees, family
members, friends, associates, assigns, representatives, next of kin, or any others forever releases and holds the City of Covina, its
elected officials, employees, agents, directors, officers, council members (Releasees) harmless from all liability to the undersigned and
the undersigned’s personal representatives, assigns, heirs, next of kin, and agents for any loss or damage including, but not limited to
serious bodily injury or death, or damage to any property and waives any claims and demands therefore, on account of injury or
damage to the undersigned’s person or property, including injury leading to death of the undersigned, whether caused by the active
or passive negligence of the City of Covina, its employees, its elected officials, employees agents, directors, officers, council members,
and assigns while the undersigned is volunteering for the Covina Christmas Parade, including any and all vehicles and activities
associated with the Parade.
The undersigned agrees to indemnify, save and hold harmless the Releasees and each of them from any loss, liability, damage or cost
and the undersigned assumes full responsibility for any risk of bodily injury, death or property damages.
I have read this release and waiver of liability, assumption of the risk and indemnity agreement, fully understand its terms, understand
that I have given up substantial rights by signing it, and have signed it freely and voluntarily without any inducement, assurance or
guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extent
allowed by law.
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