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2. First Name*
3. Last Name*
5. Included Activities on the City-owned Property*
7. Activities Starting and Ending on These Dates:*
   Activities Starting and Ending on These Dates: Start Date

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   Activities Starting and Ending on These Dates: End Date
9. Volunteer Activity Waiver

   I hereby request permission to participate as a volunteer for activities on City-owned property (the “Volunteer Activities”) involving the City of Annapolis (“City). I understand that such participation includes the potential for active physical participation, as well as the potential risk of personal injury, and/or personal property damage or loss. I make this request to volunteer for the Volunteer Activities with full knowledge of the possibility of personal injury, and/or personal property damage or loss to myself. 

   With full knowledge of my physical capabilities or limitations, including any health conditions, I agree on my behalf to assume all such risks of personal injury and damages resulting from personal injury, and property damage and any other loss which I may sustain as a result of participating as a volunteer for the Volunteer Activities whether caused by the acts or omissions of the City, its elected officials, appointees, directors, employees, agents, contractors and representatives (“City Parties”), directly or indirectly, and including but not limited to, the acts or omissions of other participants or volunteers for the Volunteer Activities. I shall indemnify and hold harmless the City Parties for any and all personal injuries or property damage I incur as a result of my participation in the Volunteer Activities. In consideration of the City allowing me to participate as a volunteer for the Volunteer Activities, and with the intent to be legally bound, I hereby, for myself and all respective heirs, personal representatives, successors and assigns, agree to forever release and discharge the City Parties from any liability for personal injury or property damage sustained during participation in the Volunteer Activities. I hereby waive my right to pursue against the City Parties any and all liabilities, claims, demands, actions or causes of action resulting from personal injuries, including death, and property damage and other loss to myself on account of my participation in the Volunteer Activities. 

   I, agree to follow the rules, protocols, and procedures established by the City for the Volunteer Activities, along with all applicable laws, and to exercise reasonable care while acting as a volunteer. I hereby understand and acknowledge that the City, including any official, officer, employee, or, and any other designee or authority having jurisdiction over the Volunteer Activities, reserves the right in its sole discretion and at any time to issue a warning to me, to order immediate correction of any non-compliance at any time before or during the Volunteer Activities, or to permanently and immediately remove me from the Volunteer Activities for failure to comply with this Waiver. Failure to heed any warning, comply with this Waiver, or correct any failure as ordered may bar my participation in any future City programs, events, or activities. 

   I hereby understand, acknowledge and agree that I may be photographed or videotaped during the Volunteer Activities. These photographs and/or videos may be used by the City, without any notice or permission, in its own publications, in local or online media, or on other social media platforms for advertising, marketing, promotional or other uses. 

   If my participation in the Volunteer Activities includes the use of my own personal property, including, but not limited to, any equipment, apparatus, tools, devices, machinery or similar, I understand that the City Parties shall not be responsible for any personal injuries or damages, including damages to my personal property, that may arise during the Volunteer Activities. 

   I understand this Waiver on behalf of myself to be as broad and inclusive as the laws of the State of Maryland will permit, and affirm that I am of legal age to freely signing this Waiver on my behalf. I have read this Waiver, fully understand the terms of this Waiver, and hereby agree to waive the rights specified in this Waiver on my behalf. 

11. Owner Signature (First and Last Name)*

    By typing in my name here I confirm that I/we have  read the terms and conditions that are incorporated into this application and agree to be bound thereby.

12. Date*
    Date
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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