Komen Vermont-New Hampshire Race for the Cure&#174;: Volunteer

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Volunteer Application

*Name:

First

Last

*Email: Required

*Street 1:

*City/State/ZIP:

City Required	State Required	ZIP Required

*Phone Number: Required

Alternate contact number:

Emergency Contact Information

Name:

Relationship:

Phone:

Do you have any health issues that we should be aware of?

(Maximum response 255 chars, approx. 5 rows of text)

Yes, I would like to receive e-mail from Komen Vermont-New Hampshire Race for the Cure®

Event Times and Duties
Please check the tasks and times you are interested in volunteering for.

I am Pre-Race Activities (Raffle, Poster Distribution, etc.) Dates/Times TBD

Thursday, July 15

Site Set-up 1-4pm

Friday, July 16

Volunteer Check-in

9:30 a.m.-noon

noon - 3 p.m.

Main Tent Set Up

10 a.m.-1 p.m.

1-4 p.m.

Survivor Tent Set Up

10 a.m.-1 p.m.

1 - 4 p.m.

Parking Set-up

1-5 p.m.

Registration

noon - 3 p.m.

3 - 6 p.m.

Pledges

noon - 3 p.m.

3 - 6 p.m.

Raffles at Registration

noon - 3 p.m.

3 - 6 p.m.

Main Tent Reception

Raffle

5 - 7:30 p.m.

Set Up/Clean Up

5 - 7:30 p.m.

Saturday, July 17

Volunteer Check-in

7 a.m. - noon

Registration

7:30 - 10:30 a.m.

Pledges

7:30 - 10:30 a.m.

Raffle

7:30 - 10:30 a.m.

Parking

7 a.m.- noon

Course Monitor

8 a.m. - noon

Water on Course

8 a.m - noon

Finish Line:

9 a.m. - 1 p.m.

Fun Run for Kids

10 a.m.- 1p.m.

Survivor's Tent

7 a.m.-1 p.m.

Main Tent:

Participant Food

7 a.m. -11:30

Merchandise Sales

7 a.m.-1 p.m.

Sponsor Tables

4-7 p.m.

Race Break Down and Clean-up

11 a.m. - 3 p.m.

Whatever Else is Needed!

7 a.m.- noon

Please check in with Volunteer Chair in the Information Tent when you arrive at the Race site. We will always try to assign you the job you have signed up for, but we may ask to to do something else if that space has been filled or some other need has arisen. Please let us know if you need to change or cancel your commitment at info@vtnhkomen.org.

We will confirm your volunteer assignment via email approximately two weeks prior to the Race.

I wish to volunteer for the Vermont-New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc., DBA VT-NH Affiliate of Susan G. Komen for the Cure. I understand that the nature of volunteer activities that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT I SUSTAIN OR CAUSE DURING MY PARTRTICIPATION AS A VOLUNTEER. IN ADDITION, I HEREBY RELEASE, HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE VT-NH AFFILIATE OF SUSAN G. KOMEN FOR THE CURE.

*Volunteer Signature (please type name in signature box):