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Volunteer Hold Harmless Form

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  2. Volunteer Hold Harmless Form

    Thank you for volunteering with the Johnson County Park & Recreation District. Your efforts & the efforts of other volunteers, make it possible for us to expand our service capacity & enhance our community’s park & recreational resources. To further assist us, please provide us with the following information.

  3. Enter your date of birth

  4. Please read and complete the information below:

    As a volunteer for Johnson County Park & Recreation District, I do hereby assume all risk of injury & medical expense incurred from any injury resulting from my volunteer participation. I understand, acknowledge & agree I am not covered by Workers’ Compensation insurance or benefits provided thereunder & I do hereby release, discharge & hold harmless Johnson County Park & Recreation District, its agents, representatives and employees, from any & all claims whatsoever, known or unknown, for damages or injuries to myself.

  5. (required if volunteer under 18)

  6. Office Use Only

  7. Project Description

    Enter what the volunteer did while at your location

  8. Leave This Blank:

  9. This field is not part of the form submission.