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CentervilleMainStreetMarket(CMSM)VolunteerApplication <br />First&LastName:__________________________________________________________________________ <br />Address:_______________________________________City:________________________State:_________ <br />Zip:_____________Phone:______________________Email:________________________________________ <br />EmergencyContactName________________________________Relationshiptoyou____________________ <br />EmergencyContactPhoneNumber_____________________________________________________________ <br />Areyou18yearsoldorolder?YesNoIfno,whatisyourdateofbirth?__________________________ <br />Whatvolunteeractivitiesareyouinterestedin? <br />OnsiteMarketvolunteerassistwithsetup/takedown&helpduringMarkethours <br />Circlewhichshiftorboth:PreMarket46pmPostMarket68pm <br />MediaPromotionaddflyerstobusinesses,postonsocialmedia,writepressrelease <br />VendorRecruitmentassistwithfindingvendors <br />LiabilityRelease <br />Insigningbelow,Iherebyrelease,indemnify,andholdharmlesstheCentervilleMainStreetMarket(CMSM), <br />itsofficers,directors,andemployees,andtheorganizers,sponsors,andsupervisorsofallCMSMactivities <br />fromanyandallliabilityinconnectionwithanyinjuryImaysustain(includinganyinjurycausedbynegligence) <br />inconjunctionwithvolunteeringwithCMSM. <br />MediaRelease <br />Insigningbelow,Iagreetobephotographed,videotaped,and/orrecordedwhilevolunteeringwithCMSM.I <br />understandthatCMSMwillownrightstoandmayusethismedia(photographs,videos,audiorecordings, <br />and/ormystatements),inwholeorpart,inCMSMmaterialssuchasprintedpublications,websitevideos, <br />socialmedia,grantproposals,andpromotionalmaterialstosupportCMSM. <br />Signature:____________________________________________________Date:________________________ <br />Forquestions/concerns:info@centervillemn.com <br /> <br />