Service Event Registration Please let us know about the event your organization is hosting! We will share with the community and even help you find volunteers if you need them! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Event Title *Organization name *Name of primary contact *FirstLastPhone number for primary contact *Email for primary contact *Address where service(s) will be provided *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIn which community will this service be provided? *Bostic-SunshineCamp Creek-Mt. VernonCaroleen-CliffsideChimney RockDanieltown-Sulphur SpringsDuncan Creek-Golden ValleyEllenboroForest CityGilkey-MorganGreen HillHaynesRutherfordtonSandy MushSpindaleUnion date the In Start date and time *DateTimeIf the event is recurring, please indicate frequency in the description.End date and timeDateTimeService category(ies) *Prepared foodFood SuppliesWater (bottled)Water (filling station)Baby formulaDiapersLaundry machinesShowersFuelFirst aid suppliesTree serviceEarth movementDebris removalAid paperwork assistanceMental health/emotional supportVolunteers needed? *YesNoIf "yes," approximately how many additional volunteers are needed? Selected Value: 1 Please indicate volunteer services required for this event (select all that apply)General laborTransportation of suppliesTransportation of individualsFood prepEarth movement (heavy equipment)Tree service (sawing)Debris removal (transport)Information communication (i.e. social media)Logistics coordinationAid paperwork assistance (i.e. FEMA form completion)Emotional/mental health supportSide by side (SXS) vehicle and driverEvent descriptionIf the event is scheduled to repeat, please indicate the frequency.I acknowledge and agree to the Waiver of Liability for RoCo Relief *I acknowledgeWAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNIFICATION AGREEMENT This Waiver of Liability, Assumption of Risk, and Indemnification Agreement (“Agreement”) is executed by the volunteer (“Volunteer”) in favor of RoCo Relief, its officers, directors, employees, volunteers, agents, and representatives (collectively referred to as “Organization”). 1. Volunteer Activities The Volunteer is participating in community service activities organized by the Organization in response to Hurricane Helene (“Activities”). These Activities may include, but are not limited to, debris removal, shelter assistance, distribution of supplies, and transportation of individuals. 2. Assumption of Risk The Volunteer understands and acknowledges that participation in the Activities may involve inherent risks, including but not limited to physical injury, emotional distress, and property damage. The Volunteer voluntarily assumes all risks associated with participation in the Activities, whether known or unknown, and acknowledges that such risks may be significant. 3. Waiver of Liability To the fullest extent permitted by law, the Volunteer hereby waives, releases, and discharges the Organization from any and all claims, demands, actions, or causes of action that may arise from any injury, damage, or loss incurred during participation in the Activities, including but not limited to those resulting from the negligence of the Organization or its representatives. 4. Indemnification The Volunteer agrees to indemnify, defend, and hold harmless the Organization from any and all claims, liabilities, damages, losses, or expenses (including attorneys’ fees) arising out of or related to the Volunteer’s participation in the Activities, including any claims made by third parties. 5. Medical Treatment In the event of an injury, the Volunteer consents to receive any necessary medical treatment, and the Volunteer agrees to be responsible for any and all costs associated with such treatment. 6. Governing Law This Agreement shall be governed by and construed in accordance with the laws of the State of North Carolina. Any legal action or proceeding arising out of or relating to this Agreement shall be brought exclusively in the courts of Rutherford County, North Carolina. 7. Acknowledgment The Volunteer acknowledges that they have read this Agreement in its entirety, understand its contents, and are acknowledging it voluntarily. The Volunteer understands that this is a binding legal document.Submit