BBG Volunteer Waiver

Please only complete this form if you have been directed to do so by the Bellevue Botanical Garden's volunteer program coordinator. This is not a volunteer application or form for inquiry. If you are interested in volunteer opportunities at the Bellevue Botanical Garden, please visit our website or email BBGVolunteers@Bellevuewa.gov. This form is only to be completed by those who are age 18 and older. If you are under the age of 18, please ask your parent or guardian to complete this form for you. All volunteers must be at least 16 years old to volunteer at the Bellevue Botanical Garden.

Contact Information

First Name

Last Name

I am a parent or guardian submitting this form for a youth volunteer (under age 18).

Yes

Youth volunteer’s first and last name

By checking this box, I certify that I am the volunteer’s parent or legal guardian.

Group or Company Name

A confirmation email will be sent to this address.

Phone

Type N/A if you do not wish to provide a phone number.

ZIP Code

Date of Volunteer Service

Volunteer Waiver of Liability / Release

I understand that my participation in the City of Bellevue (“City”) programs, operations, and/or maintenance is a voluntary activity, and that I am donating my time and my labor by my own free choice. I agree to perform my assigned tasks in a responsible manner. In consideration of myself and/or my child(ren) being allowed to participate in the volunteer activities identified herein, I HEREBY AGREE TO ASSUME ANY AND ALL RISKS, INCLUDING RISK OF PROPERTY DAMAGE, INJURY, ILLNESS, OR DEATH associated in any way with my or my child(ren)’s participation in the activities. I further AGREE TO RELEASE, DEFEND, INDEMNIFY, AND HOLD HARMLESS the City, its officials, employees, representatives, volunteers, and agents from any and all liabilities, damages, costs, and expenses, including attorney fees, I now, or may hereafter have, whether known or unknown, in law or in equity, arising from or in any way connected with my and/or my child(ren)’s participation in the City’s volunteer activities. I agree that the terms stated herein shall also serve as a WAIVER OF LIABILITY AND ASSUMPTION OF RISK for my heirs, estate, executor, administrator, assignees, and for all members of my family.

Nothing herein is intended to waive any rights a volunteer may have under the Washington Industrial Insurance Act.

PHOTO/VIDEO RELEASE: I give my permission to have photos and/or video and audio recordings taken of me or my child(ren) during City of Bellevue activities and authorize the City of Bellevue to copyright, use, and publish the same. I understand I am waiving any right of privacy, compensation, copyright or other ownership right connected to the photo or recording. If you do not give permission to have photos and/or video and audio taken of you or your child(ren), please contact the main office at 425-452-6885 or parksweb@bellevuewa.gov.

CAUTION. By checking this box, I acknowledge that I have carefully read this VOLUNTEER WAIVER OF LIABILITY / RELEASE and PHOTO/VIDEO RELEASE, fully understand that I am waiving any right that I may now or hereafter have to bring a legal action to assert any claim against the City of Bellevue in connection with my or my child(ren)’s participation in the activities identified herein; and I further indicate that I am over the age of 18 and accept the conditions printed above.

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