Huntington Beach Volunteers!

Win Two Tickets to Night By The Ocean Hosted by Jason Mraz

Saturday September 29 2018

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BE A FUNDRAISING ALL-STAR! In a few clicks, you can raise funds with a peer-to-peer fundraiser on Facebook, Twitter, LinkedIn and email. It's so easy ... and there's more: the season's top five fundraisers will each receive two tickets to the 14th Annual Night By The Ocean Gala, hosted by none other than our friend Jason Mraz. (Learn more at nightbytheocean.com).

The top five fundraisers will be determined on Monday September 17th.

Start An Online Fundraiser

Volunteer Registration

They Will Surf Again Huntington Beach

After completing this form, you will receive an email requesting you to confirm your registration. Your registration will not be complete without this confirmation. (Please check your spam or promotions folder if you don't see it in your in-box.)

Please note: each volunteer needs a unique email address.

First Name *

Last Name *

Email Address *

Three Digit Area Code *

Seven Digit Phone *

(NO Hyphens)

Home Street Address *

City *

State *

Zip Code *

How did you hear about LRO?

Please describe your experience volunteering with adaptive sports (if any)

Please also describe your water sports experience (if any)

Please select the role that most interests you *

Please note: only experienced, strong swimmers should volunteer in Deep Water. You do NOT need surfing experience to be an epic water volunteer. But you do need to be very comfortable and strong in the ocean. A background in competitive swimming, water polo, paddle boarding, surfing, and/or experience as a lifeguard, swimming instructor or camp counselor will prove very helpful.

Are you volunteering with an organization?

i.e. a company, or sports team, or university?

Please select your team preference *

Note: there are no teams for Registration, Hospitality, Setup, Cleanup or Photography

Would you like to volunteer with a certain person?

Gender *

Birth Date *

Birth Date

YYYY

Please describe any allergies *

Type "none" if you have no allergies

Do you experience seizures? *

Emergency Contact's Name *

Emergency Contact's Phone *

Emergency Contact's Phone

(###)

###

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WAIVER AND RELEASE OF LIABILITY *

By entering my name here, I agree to the following: In consideration of being allowed to participate in any way in Life Rolls On / They Will Surf Again programs, related events, and activities, I and/or the minor participant, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, the undersigned: 1. Agree that prior to participating, I will inspect, or if a parent and/or legal guardian, I will instruct the minor participant to inspect the facilities and equipment to be used, and if I believe, to the best of my ability, that anything is unsafe, I and/or the minor participant will immediately advise Life Rolls On / TWSA of such condition(s) and refuse to participate. 2. Acknowledge and fully understand that I and/or the minor participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result only from my own actions, inactions or negligence of others, the rules of play, or the condition of the premises or any equipment used. Further, that there may be other risks not known to me or not reasonably foreseeable at this time. 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 4. Release, waive, discharge and covenant not to sue Life Rolls On Foundation, its affiliated clubs, their representative administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, their heirs, and if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releases," from demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release or otherwise. I/we have read the above waiver and release, understand that I/we have given up substantial rights by signing it, have not changed it orally, and sign it voluntarily.

Date of Signature *

Date of Signature

On this date, I am signing this WAIVER AND RELEASE OF LIABILITY

YYYY