2020 Ambassador Application

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Are you a D&L Member?

Have you previously volunteered with the us? (Check all that apply)

Trail Tender
Museum and/or Field Trip Docent
Special Events (D&L Heritage Half Marathon, Spring Dinner, Haunted Hugh Moore Park, etc.)
Office Volunteer
Other

How did you hear about the D&L?

Why do you want to be a D&L Ambassador?

Availability (Check all that apply)

Weekdays
Weekday Evenings
Saturdays
Sundays

Where are you willing/interested to in volunteering? (Check all that apply)

Anthracite Region
Lehigh Valley Region
Delaware Canal Region

Areas of Interest (Check all that apply)

Health & Wellness
Industrial Heritage, Museum, and Education
Nature & Environment
Economic Development

Consent*

I HAVE READ THIS AGREEMENT AND RELEASE AND, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Volunteer Agreement & Release

In signing this Agreement, I agree that I am willingly volunteering to participate in a D&L project. I agree to use work tools safely according to instructions I receive. I agree to behave in a responsible manner. I agree to only perform work that I am comfortable doing and that I feel I can accomplish safely. I agree I am wearing clothes and shoes that I believe will provide protection according to the work conditions.

I hereby release all sponsoring organizations, and D&L employees, from any and all claims that may arise from or result in any expenses, personal injury, loss or damage incurred to me or by me during my participation in D&L’s projects.

Permission-Use of Photographs.

I also grant permission for D&L, and sponsoring organizations, to use work group photographs, film, and videos of me (or my minor child) for promotional or other uses either associated with the project or sponsoring organizations, including use on an organizational web site(s).

Ambassador Program Application

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