2023SummerPG_HL_FIN3

VOLUNTEER PROGRAM VILLAGE OF ORLAND PARK Share your time and talent while making a difference with the Village of Orland Park. The Village of Orland Park offers a wide variety of volunteer opportunities throughout the season. If you are interested in volunteering at any event, please send this form to Recreation and Parks Administration, 14600 Ravinia Ave., Orland Park, IL 60462, email orlandrecreation@orlandpark.org or fax 708.403.3208. Students—Earn Community Service Hours! If earning Community Service hours, please list your school. 1 Print Name: _____________________________________________________________________________________________ Home Phone: _________________________________________ Cell Phone: _________________________________________ Address: _______________________________________________________________________________________________ City: ___________________________________________________________ State: ____________ Zip: _________________ Email: _________________________________________________________________________________________________ Are you under 18 years of age? ______ YES _____ NO MAKE A DIFFERENCE AND BECOME A VOLUNTEER!

Events with multiple dates, choose one or more days to volunteer. You will be contacted if needed. 2 CHOOSE AN EVENT, OR TWO!

○ Dance Recital | June 7 & 8 and June 10 & 11 | Times Vary | Carl Sandburg Performing Arts Center ○ Market at the Park | June 8 - August 17 (No market August 3) | 3p to 8:30p | Crescent Park ○ Veteran’s Liberty Run | July 3 | 6p - 8p | Centennial Park—153rd St. Metra Station ○ Taste of Orland | August 4 - August 6 | Various Times & Activities | Village Hall Complex ○ Veteran’s Golf Classic | Aug 29 | 7:30a to 5:30p (various shifts) | Silver Lakes Country Club ○ Special Recreation Programs & Events | Various Dates & Times | Various Locations ○ I am willing to volunteer as needed.

SCAN TO APPLY ONLINE

3 I offer to volunteer my services to the Village of Orland Park and recognize that I will not be paid in any way. As a volunteer, parent, or legal guardian of a volunteer I acknowledge that there are certain risks of physical injury to volunteers in their activities and I agree to assume full risk of any and all injuries, damages or loss that I may sustain as a result of said participation. I agree and covenant on behalf of myself and any minor child/ward of mine that I/we will not under any circumstances file any claim or suit against the village or any of its agents, employees or representatives based on my voluntary participation in any village activity. I do further agree to hold harmless, indemnify and defend the Village, it’s trustees, officers, officials, agents, and employees from any claim, suit, demand or liability being asserted at any time in the future by me or by the minor child/ward or on his/her/our behalf for any loss, costs or damages (including reasonable attorney’s fees and costs of defense) resulting from the death, bodily injury or property damage suffered by me or the minor resulting from any volunteer activities as outlined above. In applying to be a volunteer for a Village of Orland Park children’s recreational program (or the parent of a minor child/ ward offering to be a volunteer for such a program) I certify that I (or the minor child/ward) have neither been convicted of a sex offense nor found to be a child sex offender. Additionally I hereby give consent for the Village of Orland Park to use photos or video coverage of me and my minor child/ward in future publications and promotions, and that these photos/videos remain the property of the Village of Orland Park. READ AND SIGN THE VOLUNTEER CONSENT AND RELEASE FORM

Signature of adult volunteer or parent/guardian of minor volunteer

Date