About
What We Do
Ag in the City Farm and Community Gardens
Education and Workshops
Produce Sales & Distribution
Farmers Markets
Farm Tours
Order Online
Merch
Produce Box
Wholesale Order
Get Involved
Learn
Volunteer Signup
Earn and Learn
Contact
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About
What We Do
Ag in the City Farm and Community Gardens
Education and Workshops
Produce Sales & Distribution
Farmers Markets
Farm Tours
Order Online
Merch
Produce Box
Wholesale Order
Get Involved
Learn
Volunteer Signup
Earn and Learn
Contact
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Volunteer Signup Form
Full Name
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Email Adress
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Phone Number
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Availability
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Time
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Do you have a valid driver's license and up to date insurance?
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Please select all that apply:
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I am willing and able to deliver produce to families in need with my vehicle
I am able to help pack Good Garden boxes
I can pack boxes or deliver
I want to volunteer on the farm/garden
How would you rate your health and risk regarding the current virus at this time?
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I have no fever, cough or flu like symptoms now, nor have I had any in the past 14 days.
I have been around more than 20 people at a time with less than 6 feet apart within the last 14 days.
I am willing to wear a mask and gloves during all hours of my service.
I am willing to have my temperature taken before beginning my service.
Waiver and Release: I, the Volunteer, release and forever discharge and hold harmless Ag in the City and its partners or successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide. I understand and acknowledge that this Release discharges Ag in the City and it's partners or successors from any liability or claim that I may have against them with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Ag in the City or occurring while I am providing volunteer services. Further I understand that Ag in the City and it's partners or successors do not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of Ag in the City beyond what may be offered freely in the event of injury or medical expenses incurred by me. I hereby Release and forever discharge Ag in the City, it's partners and successors from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with Ag in the City. I understand that the services I provide to Ag in the City may include activities that may be hazardous to me including, but not limited to driving, lifting up to 50 pounds and managing crowds. As a volunteer, I hereby expressly assume risk of injury or harm from these activities and Release Ag in the City and its partners or successors from all liability. I grant and convey to Ag in the City and it's partners and successors all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by Ag in the City in connection with my providing volunteer services. As a volunteer, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Kentucky and that this Release shall be governed by and interpreted in accordance with the laws of the State of Kentucky. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected. By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily. Type your first and last name below to give your consent and electronic signature Email response text sent to the applicant: Thank you for completing the volunteer registration form. We will reach out to you to schedule a time for you to volunteer!
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