Adult Waiver for Marra Farm Volunteers

VOLUNTEER INFORMATION
PLEASE NOTE: All sections marked with * are required. You may mark sections not applicable to you with N/A. When you successfully submit your form, a confirmation screen will pop up. If you hit SUBMIT and do NOT see the confirmation, please review your application for any missing required fields, complete them, and hit SUBMIT again.)
Today's Date:*
Birthdate*
PLEASE NOTE: If you are under 18, please complete and have a parent/guardian sign the Youth Volunteer Waiver for Marra Farm instead.
MM slash DD slash YYYY
Name*
First Last
Pronouns

she/her, he/him, they/them, etc.
Phone*
Email*
Address*
Street Address City State ZIP Code
EMPLOYER or SCHOOL INFORMATION
Employer or School (if applicable)*
- Employer
- School
- N/A
- Other
Employer or School Name (or N/A)*
Are you volunteering as part of a group or as an individual?
- Group
- Individual
- N/A
- Other
Organization and Group Leader Name (or N/A)*
If you’re already scheduled, what date are you volunteering?
MM slash DD slash YYYY
EMERGENCY CONTACT INFORMATION
Emergency Contact (Full Name)*
Emergency Contact Relationship*
Emergency Contact Email*
Emergency Contact Phone*
AUTHORIZATIONS, AGREEMENTS, and RELEASES
Authorization*
I certify that the answers given above are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this waiver as may be necessary for ensuring a satisfactory volunteer experience. I understand that this waiver is not, and is not intended to be, a contract. I understand that false or misleading information provided in this waiver may result in my not being able to continue volunteering with Solid Ground.
- Yes
COVID-19 Screening Agreement*
I agree to read and complete Solid Ground's COVID-19 self-screening assessment before each volunteer shift. Solid Ground works in alignment with Public Health – Seattle & King County to fight community transmission of COVID-19. Staff, volunteers, and visitors are asked to stay at home if they have COVID-19, feel at all unwell, or have been exposed to people who have COVID-19 or its symptoms. This screening tool, adapted from the Washington State Department of Health, helps folks identify if they fall under those categories.
- Yes
Liability Release*
I hereby release, indemnify, and hold harmless Solid Ground, its officers, directors, and employees, and the organizers, sponsors, and supervisors of all Solid Ground activities from any and all liability in connection with any injury I may sustain (including any injury caused by negligence) in conjunction with volunteering with Solid Ground.
- Yes
Media Release*
In signing below, I agree to be photographed, videotaped, and/or recorded while volunteering with Solid Ground. I understand that Solid Ground will own rights to and may use this media (photographs, videos, audio recordings, and/or my statements), in whole or part, in Solid Ground materials such as printed publications, the Solid Ground website (www.solid-ground.org), videos, social media, grant proposals, and promotional materials to support Solid Ground and its programs. As far as I know, what I say and do in this media will not violate the rights of any other person or company. If I no longer want my photos and/or story to be used, I agree to contact the Solid Ground Communications Department at publications@solid-ground.org or 206.694.6716. Once requested, Solid Ground will not create new materials using participants’ media – but we may continue to use already printed materials until we can make replacements.
- I accept
- I decline
Volunteer Signature*
Please note: If you are under 18, your parent or guardian may also need to sign a Youth Volunteer Waiver.
REMINDERS: 1) All sections marked with * are required. You may mark sections not applicable to you with N/A. When you successfully submit your application, a confirmation screen will pop up. If you hit SUBMIT and do NOT see the confirmation, please review your application for any missing required fields, complete them, and hit SUBMIT again. 2) Solid Ground keeps volunteer intake and personal information confidential and does not share it with any outside entities. Your contact information is used only to keep you updated on Solid Ground’s activities and partnership opportunities.
QUESTIONS? Contact: marrafarm@solid-ground.org or 206.694.6828. The Marra Farm Giving Garden is located at 9026 4th Ave S, Seattle, WA 98108.

Adult Waiver for Marra Farm Volunteers

VOLUNTEER INFORMATION

EMPLOYER or SCHOOL INFORMATION

EMERGENCY CONTACT INFORMATION

AUTHORIZATIONS, AGREEMENTS, and RELEASES

QUESTIONS? Contact: marrafarm@solid-ground.org or 206.694.6828. The Marra Farm Giving Garden is located at 9026 4th Ave S, Seattle, WA 98108.

206.694.6700

Monday–Friday, 10am–2pm