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Become a La Paz Volunteer | La Paz Chattanooga
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Become a La Paz Volunteer

Volunteer with La Paz Chattanooga

| La Paz Chattanooga Volunteer Application

NOTE**

- Upon registration, all volunteers will be asked to submit a background check and attend a volunteer orientation (if they have not done so since January 2016). Volunteer applications/registrations will be placed on hold until we receive confirmation that these have been completed. More information will be included in your confirmation email. If you have any questions regarding this request, please contact us at 423-624-8414 or send us a text message to 423-401-0880.
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Registration Information


Required fields are marked with an asterisk (*)
First Name / Nombre Primero *
Last Name / Apellido *
Date of Birth / Fecha de Nacimiento *
Mobile Phone / Teléfono Celular *
Mailing street address *
City *
State *
Zip Code *
What is your Spanish proficiency level? *
T-shirt Size / Tamaño de la Camiseta *
Volunteer Interests / Intereses Voluntarios












General Comments (perhaps tell us why you're interested in volunteering with La Paz):

Disclaimer

Waiver
I understand that as a volunteer for La Paz de Dios (dba La Paz Chattanooga or “La Paz”)(including but not limited to my participation as a volunteer in La Paz events), I acknowledge and fully understand that I may be engaging in activities that involve risk or serious injury, including permanent disability and death, and severe social and economic losses which may result not only from my own actions, inaction or negligence but the action, inaction or negligence of others, the rules of play, or the condition of the premises of any equipment used. I have considered, appreciated, and hereby accept the known and unknown risks of my participation as a La Paz volunteer. I have read this waiver, understand these facts, and voluntarily accept these risks in exchange for benefits that I will receive from being allowed to participate as a La Paz volunteer.

I, for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, hereby agree not to sue, and forever waive, release, and discharge the following parties (the “Released Parties”)

• La Paz Chattanooga;
• any and all La Paz event partners, sponsors, vendors, and participants (including but not limited to local governments, public agencies, and law enforcement)(“Partner” or “Partners”); and
• La Paz’s and each Partner’s respective owners, agents, employees, officers, directors, volunteers, subsidiaries, affiliates, predecessors, successors, and insurers

from any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever, arising out of or in the course of my participation in any La Paz event, activity, or function. In connection with any injury sustained or illness or medical conditions experienced while volunteering at a La Paz event, I authorize any emergency first aid, medication, medical treatment or surgery deemed necessary by the attending medical personnel if I am not able to act on my own behalf. Additionally, I authorize medical treatment for me, at my cost, if the need arises; however, I acknowledge that the Released Parties shall have no duty, obligation or liability arising out of the provision of, or failure to provide, medical treatment. This waiver is intended to be as broad and inclusive as is allowed by law and if any part is held invalid, that part will be modified to make it enforceable to the maximum extent possible; if it cannot be so modified, it will be severed and all other parts of will remain valid and enforceable.

Compliance
As a volunteer, I agree to follow directions from La Paz’s officers, employees, and representatives regarding all aspects of my participation as a La Paz volunteer, including the right of La Paz or its representatives to deny or suspend my participation in any La Paz event for any reason whatsoever. I acknowledge and understand that I am not required to participate in any La Paz event-related activities, and I will not participate in any such activities unless I am medically able to do so and properly trained.

Use of Likeness
I hereby authorize and give my full consent to La Paz to copyright and/or publish any and all photographs, videotapes and/or film in which I appear while attending any La Paz event. I further agree that La Paz may transfer, use or cause to be used, these photographs, videotapes, or films for any exhibitions, public displays, publications, commercials, art and advertising purposes, and television programs without limitations or reservations.

Confidential Information
I understand that as a volunteer, I may become aware of confidential information about La Paz Chattanooga or its partners. I agree to maintain the confidentiality of any information marked "confidential" and any other information that I know or should know is confidential, including but not limited to La Paz’s organizational plans, internal procedures, clientele, protocols, marketing plans and strategies, and finances. I will protect all confidential information and will not use or disclose any confidential information, other than for the sole benefit of La Paz in the course of performing my responsibilities as a La Paz volunteer.
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