Volunteering with Midtown

Name *

First Name

Last Name

Waiver *

By checking this box, I hereby agree to indemnify and hold harmless Midtown Community Benefits District from any and all claims or causes of action that may arise out of performance of my assigned duties. I waive any right of action I have against Midtown Community Benefits District in consideration of my participation as a volunteer.

I agree

Photo release *

I hereby give permission to Midtown Community Benefits District to use my photographic likeness and voice in all forms and media for advertising, trade, and any other lawful purposes.

I agree

I do not give permission for my photo to be taken/used

Mailing List *

I give permission for my email to be added to Midtown’s mailing list.

Yes, I give permission

No, I do not give permission

Event Date

MM

DD

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