Volunteer Form for the Clean Air Ride

Name:
Email:
Age: Date of Birth:
Phone: and//or
Sex: Male Female
T-Shirt Size: Small Medium Large X-Large
Address:

Experience:

Have you voluteered before?
Yes No
If so, what did you do?

In consideration of accepting this application to volunteer, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for losses and damages I may have against the sponsors of the race and/or officials of said event, town, police, fire department, and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest and verify that I am physically fit and not under any medical restrictions or limitations, and that a licensed medical doctor has verified my physical condition. I understand that the course is open to vehicular traffic and will act with due care.

= I Accept These Terms and Conditions