Volunteers are needed to assist with the 15 obstacles listed on the Obstacles page. Volunteers can choose obstacles on a first come/ first serve basis.

Please complete the form below and fax to 270-843-3236 or email to mhicks@uwsk.org


Bowling Green WIPEOUT - Volunteer Release Form

All WIPEOUT Volunteers MUST complete a Volunteer Release Form.

Company/Group: _____________________________

Volunteer Name: _____________________________

Day Phone: (______)__________________________

Email: __________________________@__________________._________

T-Shirt Size (check one):  S     M     L     XL     XXL

I agree that I will attend the mandatory volunteer training Saturday, October 2, 2010 at 7:30am-9am at Houchens – LT Smith Stadium. I further agree that I will volunteer Saturday, October 2, 2010 9:00am-2:00pm.

Signature: ___________________________________ Date: _____/_______/_______


UWSK reserves the right to place volunteers where needed in order to maximize available resources and ensure a successful event.

Liability Release - I hereby release and hold harmless United Way, the organizers, WKU and sponsors and supervisors of all activities, from any and all liability for any injury I may suffer (including any injury caused by negligence) in conjunction with Bowling Green WIPEOUT 2010. I also certify that I am in good health and able to participate as a volunteer for Bowling Green WIPEOUT 2010. I certify that I am 18 years of age or older and am competent to contract my name insofar as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my signature below and warrant that I fully understand the contents thereof.

Signature: ___________________________________ Date: _____/_______/_______

Communications Release – I hereby waive any claim to the rights the photographic recordings made of me at Bowling Green WIPEOUT 2010 by United Way or its agency’s, too. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and/or non-profit use and distribution of said recording for purposes deemed suitable by United Way. I hereby waive any right to approve the finished products. I hereby certify that I am 18 years of age or older and am competent to contract my own name insofar as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my signature below and warrant that I fully understand the contents thereof.

Signature: ___________________________________ Date: _____/_______/_______

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