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2. 
   

   SNOW ANGEL VOLUNTEER FORM

   Franklin Park Borough

   
   

   
   

4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Alternate Phone Number
16. Email Address*
18. Neighborhood/Plan Name*

19. Enter N/A if not in a designated neighborhood/plan.

21. Are you over age 15?*
    -- Select One --YesNo

22. If under at 15, parent or guardian must accompany volunteer.

24. Please state your criteria for volunteering, such as distance from home, driveways/sidewalks, assigned to one or more resident.*
26. Do you agree to the terms stated below?*

    1. I Agree
28. First Name, Last Name*

30. Terms & Conditions

    In consideration of my being permitted to participate in the Snow Angels Program (the “Program”), I, on behalf of myself and any of my personal representatives, heirs, and next of kin, hereby COVENANT NOT TO SUE and to HOLD HARMLESS, RELEASE, AND  INDEMNIFY the Borough of Franklin Park, its officials, officers, agents and/or employees (collectively the “Releasees”) from any and all  liability, claims, demands, actions and causes of action whatsoever, brought by any party against any party, arising out of my participation in the Program and whether caused by the negligence of the Releasees or otherwise. This RELEASE, WAIVER OF LIABILITY and INDEMNIFICATION AGREEMENT shall remain valid in perpetuity and shall include all possible claims of negligence or other causes of action that could be asserted against the Releasees by me for this Program.  

    I warrant and represent that I understand and accept the conditions of my participation as a Volunteer in the Program, having full authority to do so, and that I am physically able to perform these services and assume the risks associated with snow      shoveling. I recognize that my participation in the Program shall not include any interactions or communications with recipient owner(s) of private property except to the extent necessary to perform requested snow removals. I further recognize that no entry inside the residence(s) of any recipient owner(s) is permitted in conjunction with my participation in the Program and that I will only enter upon the premises of properties whose owner(s) have requested snow removal therefrom for the purpose of performing requested snow removals. 

    I acknowledge that the recipient owner(s) of the property bears responsibility for compliance with all State law and Borough ordinances including maintenance of the property’s yard, sidewalks, structure exterior and interior, and that the Borough is not responsible for said maintenance nor does it guarantee the condition or safety of the private properties whereupon I may     perform snow removal as entailed by my participation in this Program. I also acknowledge that as a Program Volunteer I will not be an employee of the Borough and/or acting as an agent on behalf of the Borough.    

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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

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