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City of Des Moines Parks and Recreation Department

2021 National Bicycle and Pedestrian Documentation Project

September 14th - 18th, 2021
1551 E M.L.K. Jr Pkwy

We need hundreds of volunteers to assist with counting and surveying trail users. All supplies and training are provided. This is a great volunteer event to sign-up with a partner/friend and gives back to our community together! Volunteers can earn $10 as Bike Ped Bucks (good for admissions, activities, memberships, facility/equipment rental, and more!) as a thank you OR sign-up for multiple shifts and receive a FREE Mayor’s Annual Ride and Run registration.

Please click the location, date, then "see description" for more details.

In order to comply with emergency proclamations by the Governor or Mayor, as such may be amended from time to time, and as public health guidelines evolve, for the safety of staff and the public, the Parks and Recreation Department reserves the right to cancel Facility Use permits or registrations at any time. In the event of a cancellation, the City’s sole liability will be to refund the permit or registration fees. In addition, the Department reserves the right to change the Facility Use permit or registration requirements at any time. The Department will contact the volunteers as soon as reasonably possible with such cancellation or changes.

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Required fields are marked with an asterisk (*).
Birthdate *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
If a returning volunteer, are you willing and flexible to move to a high priority spot on the date you sign-up if we need you to? *
Are you 18 years or older? *
Company/Organization (If you are not volunteering on behalf of a group/organization, please leave blank.)
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
Address *
City *
Zip *
Have you volunteered for "Bike Ped" before? *
I am going to sign-up for 2 or more shifts to earn the FREE 2021 or 2022 Mayor's Annual Ride and Run registration. *
How did you hear about this volunteer opportunity? *











Do you accept and agree to the attached Volunteer Release and Waiver of Liability, Assumption of Risk Agreement, & Photo Release? *

Waiver

In consideration of my, or my minor child, being permitted to participate in any way in the above named Volunteer Program, I, the Undersigned, for myself and my minor child, all of my or my minor child's, personal representatives, executors, administrators, heirs, next of kin, successors and assigns, herein referred to as "Releasors", do hereby:

1. Acknowledge that this volunteer service carries with it the potential for serious injury, death, and/or property damage, and certify as to my physical fitness and that of my minor child to participate and declare that neither I nor my minor child, have been advised otherwise by a qualified medical professional.

2. Acknowledge, agree, and represent that I and my minor child will, at all times, be aware of the surroundings during the volunteer service and agree that if I or my minor child consider anything related to this Activity to be unsafe, will immediately advise the Activity officials of such, and if necessary, will leave the area or refuse to participate further in the volunteer service.

3. Waive, release and discharge, and covenant not to sue, the City of Des Moines, Iowa, its elected and appointed officials, employees, volunteers, sponsors, and agents, including others who give recommendations, directions, or instructions as part of this volunteer service, hereinafter referred to as "City", from any and all liability to Releasors, except for my minor child, for any and all loss or damage, and any claim or demands therefor, on account of injury to the person, including illness or complications associated with the COVID-19 pandemic, or property or resulting in my death or that of my minor child arising out of or related to the volunteer service, including traveling to or from the volunteer
service.

4. Agree to Indemnify and Save and Hold Harmless the City and each of them from any loss, liability, damage, or cost that they may incur arising out of or related to my or my minor child's participation in this volunteer service.

5. Assume full responsibility for any risk of bodily injury, including illness or complications associated with the COVID-19 pandemic, death or property damage arising out of or related to the volunteer service. I agree to comply with all applicable safety rules, including wearing protective clothing, close-toed shoes/boots, safety goggles, gloves, and vest while performing my volunteer activities.

6. Agree that this Release and Waiver of Liability and Assumption of Risk Agreement and Photo Release extends to all acts of negligence by the City, not including gross negligence and willful misconduct, and is intended to be as broad and inclusive as is permitted by law including any governmental immunity afforded the City by law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

7. Authorize any medical treatment, including the administration of anesthesia, deemed advisable by any licensed physician to relieve any injuries received or illness contracted by me or my minor child as a participant in this volunteer service. I hereby agree to pay all costs of any medical treatment or emergency transportation.

8. Authorize and consent to the City, its sponsors, and any news media, and their successors and assigns and those acting under their authority, to take, publish, use in any media, and copyright photographs, videotape or other and audio or visual media, including broadcast in any media, of me or my minor child and agree that such may be used for any lawful purpose without further compensation or approval.

I have read this Release and Waiver and Assumption of Risk Agreement and Photo Release, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it voluntarily without assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the fullest extent permitted by law, including all acts of negligence by the City as stated above. I agree that this Agreement and Photo Release will be IN EFFECT for 5 YEARS from the date of
my signature, unless otherwise terminated by me in writing delivered to the City.