Volunteer for Flood Response

Volunteer 21-4321 Flood Response

  1. Must be 14 years or older. Volunteers between 14-17 will be required to obtain a parent or guardian permission.

  2. Emergency Contact
  3. I will be volunteering at*
  4. Voluntary waiver*

    I voluntarily waive, release, agree to indemnify and hold harmless Whatcom County, the Volunteer Mobilization Center in Whatcom County, the Ferndale Community Service Cooperative, the Opportunity Council, and Whatcom County Sheriff’s Office, Division of Emergency Management, both elected and appointed officials, officers, employees, servants, agents and volunteers from any and all liability claims, demands or cause of actions (including claims for court costs and attorney’s fees) whatsoever arising out of or related to any loss, damages, bodily injury or death that may be sustained by me, whether caused by negligence, misconduct or otherwise, which have been committed by either myself or any of the parties named above, as a result of or in any manner connected with, directly or indirectly, my participation in any disaster relief activity and/or disaster response.

  5. Age*

    Please agree to the following as applicable and select the appropriate age option.

    I am at least eighteen (18) years of age and fully competent and I execute this release for full, adequate and complete consideration fully intending to be bound by the same. This agreement includes me and all family members from seeking any legal action against the parties named above.

    I am between 17 and 14. However, I wish to participant in disaster relief activity(s) and/or disaster response(s), and I and my parent(s) or legal guardian(s) have reviewed, understand and knowingly agree to the terms of this agreement, and have signed this agreement accordingly. This agreement includes me and all family members from seeking any legal action against the parties named above.

  6. Photography permission*

    Whatcom County Sheriff’s Office, Division of Emergency Management and the Volunteer Mobilization Center in Whatcom County frequently take photos and/or video footage of volunteers in action during trainings, exercise, actual events, and disaster responses. In addition, each volunteer may be photographed for identification purposes. Photos and/or videos may be used on websites, in newsletters, and other publications. I, sign this knowingly and voluntarily give my permission for Whatcom County Sheriff’s Office, Division of Emergency Management and the Volunteer Mobilization Center in Whatcom County in association with the Ferndale Community Service Cooperative to use my photo and/or video as

  7. Rules*

    I agree to follow the rules established by the supervisors and safety personnel, and to exercise reasonable care while participating in this program. I understand that these established rules are in accordance with the Revised Code of Washington (RCW) Chapter 38.52 – Emergency Management, and the Washington Administrative Code (WAC) Chapter 118-04 – Emergency Worker Program. I understand that if I fail to follow the instructors’ rules and regulations or fail to exercise reasonable care, I can be administratively removed.

  8. Confirmation*

    By executing this release, I certify that I have read this release in its entirety, understand all of its terms and have had any questions regarding this release or its effect satisfactorily answered. I sign this knowingly and voluntarily, understanding and assuming the risk, and agree to be legally bound by the terms and conditions stated.

  9. By typing your name here, you are electronically signing this form. I certify that the information on this card is true and correct to my best knowledge and belief.

  10. Thank you! You will receive confirmation of your application status after review by the program administrator.
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  12. This field is not part of the form submission.