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Volunteer Enrollment

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Contact Information

Emergency Contact

Employment and Skills Information


Please list two references (friends, volunteer organizations, school, business):

Volunteer Information

Volunteer Waiver

By checking the agree boxes below, I affirm that I understand the rules and guidelines of the Volunteer Waiver.

Waiver of Liability

In consideration of the City of Rowlett allowing me to participate in the Volunteer Program, and being aware of the possible injuries that could occur as a result of that participation, I on behalf of myself (my minor child / children) release the City of Rowlett officials, employees, agents, instructors from any and all injuries and
damages whatsoever arising from participation in the Volunteer Program.

I, my heirs and representatives, agree to indemnify, save and hold harmless the City of Rowlett, its officials, employees and agents from any and all claims made by me (my child / children) or my insurer for injuries or damages related to participation in the Volunteer Program.

I certify that all information provided on this application and during the interview process is true and complete. I understand that falsification or significant omissions of any information may be considered justification for non-acceptance or dismissal if discovered at a later date and that appointment to a volunteer position may be contingent upon the completion and review of a criminal background check.

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4000 Main Street Rowlett, TX 75088