Today's Date

Name

Address

Email

Emergency Contact (name, relationship, phone number)

How did you hear about our volunteer program?

Plant Background Experience (1 for least experienced; 5 for most experienced

May we contact you about volunteering more than once, or about future events?

 I would like to volunteer more than once.  I would like to be contacted about future events. Both. Neither. Please only contact me about this specific volunteer opportunity.

Are you an EcoAddendum Member?

 Yes No

Please check the box for your areas of interest.

 Native Nursery Potting Native Nursery Maintenance Pollinator Display Garden Maintenance Conservation Seed Sifting Special Event Assistant Youth Education Assistant Office Support

If you checked Special Event Assistant or Youth Education Assistant above, select "I Agree" below to agree to a background check.

By selecting "I Agree" below, you are certifying you have read EcoAddendum's Liability Waiver.

Liability Waiver

In connection with my voluntary involvement in activities undertaken for, and with the participation and support of ECOADDENDUM, a non-profit charitable organization, I hereby agree, for myself, my heirs, assigns, executors, and administrators to release and discharge ECOADDENDUM, its officers and directors, employees, agents, and volunteers from all claims, demands, and actions for injuries sustained to my person and/or property as a result of my involvement in such activities, whether or not resulting from negligence, and I agree to release and hold ECOADDENDUM, its officers and directors, employees, agents and volunteers harmless from any cause or action, claim, or suit arising therefrom. I hereby grant permission to ECOADDENDUM to use any photographs or other recordings for any legitimate purpose. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release.