First Name

Last Name

Address

City, State, ZIP
,

Home Phone

Cell Phone

Email

Birthdate

Emergency Contact Name (First Last)

Emergency Contact Phone

Please Indicate Category of Work You Prefer:
Shop WorkTrack GangGeneral LaborSpecial Skills 

In applying to be a Volunteer, I agree:
1) To work on those projects within my area of choice or expertise, identified as volunteer work, as assigned by Crew Leader.
2) To observe Valley Railroad Company shop safety and working practices, and to attend training meetings as required.
3) To adhere to the Friends of the Valley Railroad rules of conduct.
4) That I have read and understood all of the Friends of the Valley Railroad General Safety Rules.
I agree to the terms above.I DO NOT agree to the terms above.

By checking this box, I confirm I have read the above terms (Form cannot be submitted unless checked.)

Name of Parent or Legal Guardian (on behalf of junior associate aged 14 to 17)

Said parent or legal guardian agrees to be present and to work alongside the Junior Associate at all times. Junior Associates may not work on VRR property without the presence of a parent or legal guardian.

Is the Junior Associate under your care permitted to use power tools:
YesNo

In consideration of the opportunity afforded me to assist on a voluntary basis with The Valley Railroad Company and Friends of the Valley Railroad, Inc. railroad repair and maintenance projects and related activities, and in light of the aims and purposes provided by Friends of the Valley Railroad, Inc. in organizing this project, I hereby waive any right or cause of action arising as a result of my participation in said projects and related activities from which any liability may or could accrue against The Valley Railroad Company and/or Friends of the Valley Railroad, Inc., or their officers, directors, member, manager and agents, collectively or individually, including negligence by The Valley Railroad Company and/or Friends of the Valley Railroad, Inc., their officers, directors, member, manager, agent or other representatives. Without limiting the generality of the foregoing, I agree that this waiver shall include any rights or causes of action resulting from personal injury to me or damage to my property sustained in connection with my activities for The Valley Railroad, Inc. and Friends of the Valley Railroad, Inc.

In the event that I am signing this waiver on behalf of a minor child for whom I am the parent or legal guardian, all of the provisions of this waiver apply equally to myself and the minor child under my care. Furthermore, I hereby agree to be present at all times when said minor child is working on projects for The Valley Railroad Company or the Friends of the Valley Railroad, Inc. and to supervise or work alongside said minor child at all times. By checking below, I attest that: I have read carefully and understand the terms of this waiver of liability; I am at least 18 years old; and, I understand the rights that I am waiving.

Check to agree.

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