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Volunteer with Reality Rally Inc

| Reality Rally Inc

April 6th - 9th, 2017
Please choose a position(s) where you would like to help then scroll down to the bottom of the very long list to input your information..

We really appreciate your offer to volunteer for Reality Rally April 6th-7th-8th 2017.
We raise funds for www.michellesplace.org a local Breast Cancer Resource Center.
We need about 400 volunteers so please let all your friends know so they can join us. Together we have a "Fun for Funds" event while making a difference in the lives of many receiving services from Michelle's Place.

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Registration Information


Required fields are marked with an asterisk (*)
First Name *
Birth date *
Last Name *
Mobile Phone *
T-shirt size *
City *
State *
Country *
Emergency contact Name and cell # *
Have you volunteered for Reality Rally before? (if so where and thank you) *
How did you find out about Reality Rally ? *
You must have medical insurance to volunteer at Reality Rally *

Disclaimer

“REALITY RALLY” AND “MICHELLE’S PLACE”
VOLUNTEER RELEASE AND WAIVER OF LIABILITY

Thank you for your dedicated work and commitment to a great cause. Your service and assistance is greatly appreciated. In an effort to maintain an accurate record of all volunteers and an assurance that all insurance policy requirements are met, this Volunteer Release and Waiver of Liability form must be completed by all Volunteers.

I certify that I am 18 years of age or older, or that I am the legal guardian and/or parent
of the minor intending to volunteer with authority to sign this document on said minor’s behalf.
If I am signing for a minor all waivers, releases, assumptions of risk, terms of agreement, representations, acknowledgements and certifications apply equally to such minor.

This Volunteer Release and Waiver of Liability (the “Release”) is executed on the date of consent through the Volunteer sign on by myself with Reality Rally Inc, an event planning company, it’s officers, directors, employees, volunteers and/or it’s designee(s) (collectively, “Reality Rally Inc”) and Michelle’s Place, A California Non-Profit Corporation, its directors, officers, employees, volunteers and/or its designee(s) (collectively, “Michelle’s Place”).

I, the Volunteer, desire to volunteer with Reality Rally Inc and/or Michelle’s Place to provide time and/or energy and engage in the activities related to offering services which are associated with the planning, operation, setup, participation and/or cleanup of the Reality Rally Inc event (the “Event”). I understand that these activities may include, but are not limited to, activities which may be strenuous and involve risk of injury.

I hereby freely and voluntarily, without duress, execute the Release under the following terms:
1. Waiver and Release. I, the Volunteer, release and forever discharge and hold harmless Reality Rally and/or Michelle’s Place from any claim or liability that I, the Volunteer, may have against Reality Rally and/or Michelle’s Place with respect to any bodily injury, personal injury, illness, death or property damage that may result from my participation in the Event. I also understand that Reality Rally Inc and/or Michelle’s Place does not assume any responsibility or obligation to provide financial or other assistance, including, but not limited to medical, health, or disability insurance or treatment, in the event of injury, illness, death or property damage (see insurance requirements below).

2. Insurance. Reality Rally Inc and/or Michelle’s Place does not carry or maintain, and expressly disclaims responsibility for providing any health, medical or disability insurance coverage for the Volunteer. Each Volunteer is expected and encouraged to carry personal liability and medical/health insurance prior to registering as a Reality Rally and/or Michelle’s Place Volunteer.
If not insured I assume all responsibility for personal coverage in the event of any medical needs.
In the event that a Volunteer will be involved with driving or otherwise operating a motor vehicle in connection with their duties as a volunteer, the Volunteer must provide appropriate proof of automobile insurance with liability coverage which is satisfactory to Reality Rally Inc and/or Michelle’s Place, and, if necessary, a copy of proof of automobile insurance.
3. Medical Treatment. Except as otherwise agreed to by Reality Rally and/or Michelle’s Place in writing, I hereby release and forever discharge Reality Rally Inc and/or Michelle’s Place from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with Reality Rally Inc and/or Michelle’s Place. I certify that I have no physical, mental and/or medical condition, defect or challenge that prevents me from participating in these volunteer activities, duties or requests.

4. Assumption of Risk. I understand that my time with Reality Rally Inc and/or Michelle’s Place may include activities that may be hazardous to me. I recognize and understand that my time with Reality Rally Inc and/or Michelle’s Place may, in some situations, involve inherently dangerous activities. I hereby expressly, specifically and personally assume the risk of injury or harm in these activities and release Reality Rally and/or Michelle’s Place from all liability for property damage, injury, illness or death resulting from the activities of my time with Reality Rally and/or Michelle’s Place.

5. Photographic Release. I grant and convey unto Reality Rally Inc/Michelle’s Place all right, title and interest in any and all photographic images and video or audio recordings made by Reality Rally Inc/Michelle’s Place during my work for Michelle’s Place, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs or recordings. I agree that if I do not wish to be photographed or on video I assume responsibility to not be visible to cameras.

6. Other. I understand that it is my desire to further the work of Reality Rally Inc and/or Michelle’s Place by performing services as a Volunteer, specifically as a Volunteer for the Event. I undertake to perform said services as a Volunteer without compensation and that, in performing said services, I acknowledge that I am not acting as an employee of Reality Rally Inc and/or Michelle’s Place. As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of California and that this Release shall be governed by the laws of the State of California. I agree that in the event that any clause or provision of this release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. To express my understanding of this Release, I sign here with a witness.

Without limiting the generality of the foregoing, I hereby irrevocably release Reality Rally Inc and Michelle’s Place, it’s employees, agents, representatives, contractors, subcontractors, successors, heirs, assigns, affiliates, including Pala Mesa Golf Resort, Wilson Creek Winery, The City of Temecula, South Coast Winery from my participation in volunteering for this activity, event and/or duties.

The assumption of Risk, Waiver of Liability and Indemnification Agreement is the full, final and entire agreement between the undersigned and Released Parties regarding the matters herein addressed.

I agree to engage in good faith efforts to mediate any dispute that might arise. Any agreement reached will be formalized by a written contractual agreement at that time. Should the issue not be resolved my mediation, I agree that the issue will be submitted to binding arbitration. Such arbitration shall be conducted in accordance with the Arbitration Rules of the American Arbitration Association currently in effect.

I hereby certify that I have read this agreement, understand it and agree to be bound by this Release and Waiver of Liability.


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