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I Agree: <br /> <br />• I am interested in volunteering my services to the community and understand I <br />will not be an employee of the City of Mounds View . <br />• I assume all risks and hazards incidental to me in volunteering my services, <br />including transportation to, from and during the activity, and I waive all claims for <br />injury, death and resulting attorney fees and release the City of Mounds View, its <br />employees and agents from liability in the event of injury during my volunteer <br />activities. <br />• I give the City of Mounds View permission to use my likeness in photograph(s) in <br />any and all of its publications and in any and all other media (such as videos and <br />websites) for use in promotion and marketing. <br />• I release the City of Mounds View from liability in the event of injury during my <br />volunteer activities. <br />• I certify that all information provided is accurate and current. I give permission for <br />the City to verify information if necessary or requested. <br />• I understand I am applying for a volunteer position and that I will not be paid in <br />any way. I give my permission to check the references I have listed. <br />• I understand that a background check must be filled out if I work with youth ages <br />18 and younger. <br />• I understand the information on this form may be shared with the City Council <br />and appropriate City staff. <br /> <br /> By checking this box, I also indicate my understanding of the voluntary nature of <br />my participation and acknowledge that all resulting outcomes will be considered <br />the property of the City of Mounds View. <br /> <br /> <br />Sign: ________________________________________ Date __________________ <br /> <br />