OJAI DAY TEAM MEMBER
O U O
www.ojaiday.com (805) 646-5581 ext. 304 To Ojai Recreation Department: 510 Park Rd., Ojai, CA 93023
[email protected]
Date Received _____ Input _____
C I
Waiver _____
N
W9 _____
M A
N:
C
S
Z
E P P A P 17—15
O 18:
Staff shirt size circle one:
14 U
S M L XL
XXL
Please indicate all times during which you would like to be apart of the team: F , O 14
S , O 15
5 pm –7 pm
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6 am –8 am
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7 pm-9 pm
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8 am-10 am
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9 pm– 11 pm
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10 am–12 pm
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12 pm–2 pm
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2 pm–4 pm
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4 pm–6 pm
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6 pm–8 pm
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W - ? Please circle ALL Pre Event Jobs you are interested in: Administrative Duties
Distribution (Posters, Rack Cards)
THANK FOR JOINING THE OJAI DAY TEAM
TEAM MEMBER AGREEMENT DATE: ________________ TEAM MEMBER NAME: ___________________________ 1. Media Release. Participant, and his or her parent or legal guardian, (if the participant is under 18 years old), hereby gives permission to the City of Ojai to photograph, film and/or tape by any method Participant’s participation in such activities and to use, reproduce, exhibit, and publish Participant’s photograph in any manner and in all media, publications, advertising and publicity. 2. Release, Hold Harmless and Assumption of Risk. Team Member accepts and assumes such risks and responsibilities however caused or alleged to be caused by any party with the exception of those risks caused by gross negligence, fraud, willful misconduct or violation of law. In consideration for Team Member being permitted to participate in Ojai Day hereby waives, releases, discharges, indemnifies and holds harmless the City of Ojai, its boards and commissions, employees, agents, and any other related parties (“City”), from any and all claims for damages for wrongful death, personal injury, or property damage arising out of Team Member’s participation in the Ojai Day and caused by negligence (passive or active), strict liability or otherwise (except for such injury, wrongful death or property damage caused by the City’s gross negligence, fraud, willful misconduct or violation of law). Team Member:
City:
_______________________________ Signature
_______________________________ Signature
_______________________________ Print
_______________________________ Print
Parent/Guardian if under 18 years of age: Title: ________________________ _______________________________ Signature _______________________________ Print
