Registration: Solar Decathlon 2017 Volunteer Shiftboard

Volunteers are required to complete this Shiftboard registration form, including the Waiver of Liability, Emergency Medical Release, and (if you are under the age of 18) Parental Consent sections, prior to scheduling a shift at the Solar Decathlon.  Look for an email through the Shiftboard system in September inviting you to sign up for shifts at the Solar Decathlon. Until then, please help us get the word out to other potential volunteers by referring them to the Solar Decathlon website (https://www.solardecathlon.gov).


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
* How did you hear about the Solar Decathlon?
* Do you work for an official Solar Decathlon 2017 event sponsor?
 Yes  No
If so, please indicate sponsor name:
* Date of Birth:
* Have you been involved with the Solar Decathlon before?
 Yes  No
If so, in what role/capacity?
* Will you be under the age of 18 on October 2, 2017?
 Yes  No
T-Shirt Size

PHYSICAL REQUIREMENTS

Volunteers may be required to stand or walk for long periods of time or lift heavy objects. In an attempt to make sure we do not assign tasks to volunteers who are unable to fulfill those duties, we need to know whether you have any limitations that would hinder your ability to perform the following functions. If you do not check either box, we will assume that you would be comfortable with roles that involve walking, standing, and/or lifting. 

I WOULD STRUGGLE TO STAND OR WALK FOR LONG PERIODS OF TIME (CHECK BOX):
 Yes
I WOULD STRUGGLE TO LIFT 25 IBS OR MORE (CHECK BOX):
 Yes

Liability Waiver
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
* Click to agree to the Waiver of Liability
Refer to: Liability Waiver
 Yes
* Liabality Waiver Form E-Signature

Emergency Medical Information

I authorize the U.S. Department of Energy Solar Decathlon Event Staff, to release as necessary any and all information included in this form in the event such information is required for emergency treatment of injury or sickness. The undersigned (and parent/legal guardian, if applicable) understands and agrees that medical treatment and payment for medical treatment are his/her responsibility and that neither the U.S. Department of Energy Solar Decathlon officials/organizers, sponsors, nor any other party assumes responsibility for such treatment or payment for treatment.

* Emergency contact name, and relationship
* Emergency contact's home or mobile number
* Please list any disabilities, health problems, medications or allergies:
* Medical insurance company and phone number (Write N/A if you are uninsured):
* Your medical doctor's name and telephone number:
* Date of last tetanus shot:
* Do you wear contact lenses?
 Yes  No
* Do you have any beliefs or other issues that prohibit medical care?
 Yes  No

Parental Consent
These fields to be completed only if the volunteer will be under the age of 18 on October 2, 2017.
I have read and agree to the Parental Consent Form
Refer to: Parental Consent Form
 Yes
Parental Consent Form E-Signature



Thank you for your interest!
 
 

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