Group Volunteer Registration Form Coyote Cares Day 2015 Date/Time: Saturday, April 18, 2015 from 7:00am – 2pm Check-‐in: Kick-‐off begins at 7am with a free breakfast in Obershaw Dining Hall, Upper Commons Project: Students will participate in a variety of service activities from clean-‐up, painting, gardening, beautification, and restoration projects throughout San Bernardino. Volunteers will learn about the different organizations that serve our community and be part of the change. Volunteers: Volunteers will work in groups along with the Volunteer Project Leader. Attire: Please wear clothing that can get dirty, a hat, and closed-‐toe shoes. Registration Instructions: • • • Fill out the information on the second page Each volunteer MUST sign a waiver form Due to the size of our project sites, we can accommodate groups of 10 or less T-‐shirts: Will be handed out at Volunteer Kick Off Coyote Cares Day 2015-‐ Group Volunteer Registration Form Name of Organization: Contact Person: Phone: Email: Waiver - I release the sponsors, organizers, volunteers, and site property owners, as well as all of their affiliates, directors, officers, trustees, employees, representatives, or agents (collectively referred to as “Released Parties”) from all actions or claims of any kind that relate to my participation in Coyote Cares Day, or as a result of product liability or the negligence, whether passive or active, of any party, including Released Parties, in connection with Coyote Cares Day. I understand and acknowledge that this waiver binds my heirs, administrators, executors, personal representatives, and assigns. I hold the sponsors, organizers, volunteers, and site owners harmless and indemnify them against all actions or claims (including reasonable attorneys' fees, judgments and costs) with respect to any injuries, death, or other damages or losses, resulting from my participation in Coyote Cares Day. Signature Date Coyote Cares Day 2015 -‐ Group Volunteer Registration Form # 1 2 3 4 5 6 7 8 9 10 Volunteer Name (Print) Email Phone Shirt Size Registration Opens: Thursday, January 22, 2015 Please email completed form to the Office of Community Engagement at leaveyourpawprint@csusb.edu or turn in to: Office of Community Engagement California State University, San Bernardino, Faculty Office 230 5500 University Parkway, San Bernardino, CA 92407 Phone: (909) 537-‐7347 http://engage.csusb.edu