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Fire Muster Volunteer Form

  1. West Metro Fire Protection District Family Fire Muster Volunteer Form

    Volunteer/Participant Release of Liability and Consent for Criminal Background Check

  2. In consideration of participating in the West Metro Fire Protection District's Family Fire Muster, as a volunteer/participant, acknowledge and agree (by checking each box below) to the following:

  3. 1. I am a volunteer/participant in the West Metro Fire Protection District's Family Fire Muster.*

  4. 2. As a volunteer/participant, I am responsible for myself. This includes, but is not limited to, my responsibility for any and all of my own medical bills for any injuries resulting from this activity because there is no workers' compensation coverage by the West Metro Fire Protection District. *

  5. 3. I understand that there are significant risks of injury from the activities in this program, and that the use of particular rules, equipment, and personal discipline may reduce this risk but will not eliminate this risk. As a volunteer/participant, I assume responsibility for my participation, and knowingly and freely assume any and all risks from the activities of this program.*

  6. 4. As a volunteer/participant, I agree to comply with the West Metro Fire Protection District's stated and customary terms and conditions of the activity. It is my responsibility to remove myself from the activity and report any unusual hazards that I observe during my participation.*

  7. 5. I understand that the Governmental Immunity Act may under certain circumstances provide me with liability coverage as a volunteer for the West Metro Fire Protection District.*

  8. 6. I understand that in the event that the Governmental Immunity Act does not apply that, to the fullest extent permitted by law, I hereby release and agree to indemnify, defend, and hold harmless the West Metro Fire Protection District, their officers, officials, agents, employees, and other participants, sponsoring agencies, sponsors, and, if applicable, owners and lessors of premises used to conduct the activity from any and all loss, costs, damage, injury, liability, claims and causes of action whatsoever arising from my participation in the activity.*

  9. In consideration of my application to volunteer for West Metro Fire Protection District's Family Fire Muster, I give permission to check my personal background and references and to conduct other background checks such as arrest records, convictions, and traffic citations as necessary to insure the integrity of the event. The provided information is correct to the best of my knowledge.

  10. Have you ever been convicted of a crime?*

  11. My typed name below indicates that I have read and agree to volunteer or act as a participant in the West Metro Fire Protection District's Family Fire Muster and agree to this release of liability and consent to a personal background and/or reference check.

  12. If volunteer/participant is under the age of 18, this form must be signed by their parent/guardian:

  13. Leave This Blank:

  14. This field is not part of the form submission.