Volunteer Application

Thank you for your interest in volunteering with John Day Canyon City Park & Recreation District!

To submit a volunteer application, complete the form below. After we receive your application, we will contact you with information about current volunteer opportunities and the next steps for getting started. Additional information may be required. Completing a volunteer application does not guarantee placement in a volunteer position.

Questions? Contact Parks & Rec, Program Coordinator jdccparks.rec.cf@gmail.com or 541-575-0110.

Items marked with * indicate required information.

Volunteer Contact Information

Your Name

Your phone

Your Email

Address

City

State

Zip Code

Emergency Contact Name:

Emergency Primary Phone

Emergency Cell Phone

Relationship

Reference Name

Reference Phone

Reference Email

Relationship

If you are age 18 or over, you can skip checking this box. If you are under age 18, your parent/guardian must complete this section. Consent is required before a minor can volunteer with John Day Canyon City Parks & Rec. Parents/guardians - by checking the box below, you authorize the minor listed on this application to serve as a volunteer with John Day Canyon City Parks & Rec.

Availability/Schedule Preference

Background Check Statement - For volunteer applicants age 18 and over. John Day Canyon City Park & Recreation District conducts a criminal history background check on all potential volunteers age 18 and over. Checks are conducted at the time of application and may be conducted again annually, seasonally or at any time during a volunteer's service with the park district. I hereby grant John Day Canyon City Park & Recreation District permission to check civil and criminal records to verify my eligibility to volunteer and by checking the box, I certify my agreement to the information listed in this section and certify that the information provided in the required background check information section below is true.

I Agree

Applicants age 18 and over are required to complete this section in order to be considered for volunteer service.

Liability Statement - I certify that the information given herein is true and complete to the best of my knowledge. I authorize John Day Canyon City Park and Recreation District ("District") to check my references and investigate all statements contained in this application. I understand that misrepresentation or omission of facts contained herein will be sufficient cause for cancellation of consideration for volunteer service, or dismissal if I have already started volunteering. By checking the box below, I, the volunteer or the parent/guardian of the named volunteer (collectively, “Volunteer”), understand that the activities (and transportation to and from such activities) subject Volunteer to known and unknown risks and hazards that could result in injury, death, illness, disease, physical or mental damage to Volunteer, Volunteer’s property, or other third parties. Volunteer understands that District does not provide insurance coverage for Volunteer, and that such insurance coverage is the responsibility of the Volunteer. Volunteer acknowledges and accepts all risks and hazards incidental to Volunteer’s participation in the activities. To the maximum extent permitted by law, Volunteer agrees to release, indemnify, and hold harmless District, and its officers, agents, employees, contractors, and sponsors, from and against all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any kind, for harm, injury, or death to Volunteer or any other person, or for damage to or theft of property which may arise directly or indirectly from Volunteer’s participation in the activities and, in case of such harm, injury, or death, Volunteer waives any and all claims against the District, and its officers, agents, employees, contractors, and sponsors. In the event of a real or apparent emergency for which medical treatment or hospitalization for the Volunteer may be necessary, Volunteer authorizes District, including District’s staff, to obtain any medical treatment or hospitalization as they believe to be necessary and proper for Volunteer’s immediate care and welfare. I agree that the District may use, publish, copy, print, copyright, or electronically transfer Volunteer's name or likeness for District marketing purposes. Volunteer understands they will not be compensated for any volunteer service with the District. Volunteer understands and agrees that this is a release of liability and indemnity, and it is intended to be as broad and inclusive as permitted by law. If any portion is held invalid, the remainder shall continue in full force and legal effect, to the maximum extent permitted by law. I acknowledge that I have read, fully understand, accept, and agree to the above provisions and I recognize that the District is relying on such acceptance in permitting Volunteer to engage in District activities.

I Agree

Po Box 762, 841 1/2 NW Bridge St. John Day Oregon
(541) 575-0110 | JDCCparks.rec@gmail.com

Volunteer Application

Volunteer Contact Information

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