• Brownstown/Ewing Main Street Volunteer Program

    Complete this form if you're interested in volunteering with Brownstown/Ewing Main Street
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  • Please Note: No applicant will be denied opportunity to volunteer solely on the grounds of conviction of a criminal offense.  The nature of the offense, the surrounding circumstances and the relevance of the offense will may, however, be considered.

  • BROWNSTOWN/EWING MAIN STREET WAIVER:

    I hereby release, indemnify, and hold harmless Brownstown/Ewing Main Street and their respective officers, directors, employees, agents, contractors, subcontractors, representatives, successors and assigns, and all persons conducting directly or indirectly, the activities surrounding my involvement as a volunteer from any and all claims, rights, demands, action, cause of action, expenses and damages, which I or my heirs, personal representative, successors, assigns or anyone claiming by, through or under me ever had, now have, or may have against the parties identified above arising from any injury, act or omission relating in the way to my participation as a volunteer.

    I understand that I am to receive no payment for services from the Brownstown/Ewing Main Street program. I am not an employee. I will not be entitled to and will not receive Worker’s Compensations benefits or other similar payments from the Brownstown/Ewing Main Street under the law of the State of Indiana in the event that I am injured.

    I hereby consent that Brownstown/Ewing Main Street, in conjunction with their volunteer program, to copyright, publish, use, sell or assign any and all photographic portraits or pictures, television spots, movie films, videotapes, and/or sound records or any part thereof, that they may take or make of me during my work as a volunteer in which I may be included in whole or in part, whether separate from or in conjunction with, illustrative or written manner, story or news item, motions pictures, television or radio spots, or for publicity, advertising or any other lawful purpose whatsoever, in conjunction with my name or in anonymity. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied.

    I hereby waive all claims for compensation of such use or for damages.

     

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