Please make sure the form is fully completed. You will receive notice that your responses were successfully submitted upon completing the form. If you do not receive notice, your responses were not successfully sent.
Ohio Law requires that volunteers who will have unsupervised access to children be provided notice that they may be required to provide a set of impressions of their fingertips and a criminal records check may be conducted. Offenses are described in Division (A)(1) of Section 109.572 of the Ohio Revised Code.
Indicate days and times you are generally available
Waiver of Liability
I acknowledge that Mill Creek MetroParks cannot assume any responsibility for any illness, injury, accident or death sustained by me while participating in any Mill Creek MetroParks program or event as a volunteer. I acknowledge that Mill Creek MetroParks has urged me to carry my own insurance (life and disability) and the appropriate hospitalization insurance before agreeing to participate in any Mill Creek MetroParks program or event as a volunteer.
I hereby authorize immediate first responder, first-aid and emergency medical care to be performed on my behalf at the nearest medical facility as determined by the appropriate medical personnel. I, for myself, my heirs, assigns and anyone else entitled to act on my behalf, hereby release, waive and discharge Mill Creek MetroParks, its Board of Directors, employees, agents, representatives and successors, and any others connected or affiliated with the Mill Creek MetroParks volunteer program from any and all liability, claims demands, actions and causes of action whatsoever arising out of or related to any, loss, damage or injury that may be sustained by me, or to any property belonging to me, while participating in any such volunteer program or event, or while on or upon the premises where said volunteer program or event is being held.
In signing this Waiver of Liability and Hold Harmless Agreement, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily, as my own free act and deed.