Notice to Volunteer & Agreement
I understand that I am not an employee of the Town of Irondequoit (“Town") and will not receive payment for my
volunteer services. I will not represent myself as an employee of the Town and understand that as a volunteer,
I am not covered by the workers' Compensation Laws of New York State.
As a volunteer I agree to take full responsibility for my own actions, safety and welfare. I agree to release,
indemnify and save harmless the Town, its officers, officials, agents, employees, successors and assigns, from
and against any and all liabilities, actions and causes of action which may arise, directly or indirectly from my
participation as a volunteer.
I further understand that as a volunteer I am not allowed to operate any power equipment, drive Town vehicles,
handle Town funds, supervise Town employees, provide "life guarding" services or use/handle pesticides,
herbicides or other hazardous chemicals.
I declare that all the information provided on this application is true, and I understand that any falsifications or
misrepresentation may result in my termination from the Town's volunteer program.
I give permission for my image to be used for Town's publicity of the event. I understand that Town staff and
volunteers may be photographing individuals and groups during the cleanup
