VOLUNTEER APPLICATION
2019 Florida Senior Games Sports
Archery • Bag Toss • Basketball 3 on 3 • Basketball Shooting • Billiards • Bowling • Cycling • Golf • Pickleball • Powerlifting • RaceWalk/
PowerWalk • Racquetball • Road Race • Shuffleboard • Swimming • Table Tennis • Tai Chi • Tennis • Track and Field • Volleyball
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2019 FLORIDA SENIOR GAMES REGISTRATION BOOK 9
Personal Information (PLEASE PRINT)
First Name _________________________________ Last Name ____________________________________________ MI _______ Male Female
Address _____________________________________________________________________________________________________________________________
City _______________________________________________________________________________________ State _________ Zip ______________________
Day Phone ________________________________ Evening Phone ___________________________ Cell Phone _______________________________
Email _____________________________________________________________________________________ FAX __________________________________
*DOB (Month/Day/Year): ______________________________ *MUST BE 14 YEARS OF AGE OR OLDER TO VOLUNTEER
Emergency Contact Name ________________________________________________________ Contact Phone ______________________________
T-shirt Size (circle one): S M L XL XXL XXXL
Please note sports or areas of interest, note “any” if no preference ________________________________________________________________
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Please note days and times of availability:
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VOLUNTEER - WAIVER AND RELEASE FROM LIABILITY: In consideration of being permitted to serve as a volunteer for the Florida Senior Games, I,
on behalf of myself and my heirs, executors, administrators and assigns, do hereby refuse and forever discharge Enterprise Florida and Florida Sports
Foundation the city, county and state in which I may serve as a volunteer, and all sponsors, producers, their agents, representatives, successors and
assigns of any liabilities, claims, actions, damages, costs or expenses which I may have against them arising out of or in any way connected with my
participation as a volunteer, including travel to or from my volunteer assignment or assignments or other volunteer activities and meetings, and including
injuries which may be suffered by me before, during or after my participation as a volunteer. I understand that this waiver includes any claims based on
negligence, action or inaction of any of the above parties.
I have carefully read this volunteer release and fully understand its content. I am aware that this is a release of liability and sign it of my
own free will.
Dated this ______ day of _______________, 2019. Signature ____________________________________________________________
PARENT/GUARDIAN - WAIVER AND RELEASE FROM LIABILITY
(If applicant is younger than 18 years of age, a parent or guardian must execute in addition to the above, this following waiver.)
The undersigned ,_______________________________, referred to as the parent, and natural guardian or legal Guardian of
______________________, does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless
and indemnify each and all of the parties herein referred to above as releases from all liability, loss, cost, claim or damage whatsoever
may be imposed upon said releases because of any defect or lack of such capacity to act and release said releases on behalf of the
undersigned.
Parent/Guardian Signature ______________________________________ Relationship to Minor _______________________________________