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Parks & Recreation

Healthy Parks, Healthy Portland

Phone: 503-823-PLAY (7529)

Fax: 503-823-6007

1120 SW Fifth Ave., Suite 1302, Portland, OR 97204

Community Garden Volunteer Application
To volunteer with the Portland Community Gardens Program, please complete this form. Questions? Contact Kathy Dang or call 503-823-1612.

Fields marked with an asterisk* must be filled in before submitting the form.

First name*
Last name*
Street address*
City*
State*
Zip code*
Phone*
Email*

Emergency Contact Information

Emergency Contact*
Relationship
Phone*

When are you available?

(check all that apply)
Weekdays
Weekends
Morning
Afternoon
Evening

How did you hear about the opportunity to volunteer with us?

Insurance Information for Volunteers

Thank you for your interest in volunteering your time and energy with Portland Parks & Recreation. We look forward to working with you and hope that the time you spend will be rewarding to you.

We have an excellent safety record for our volunteer program. We don't anticipate that you'll be involved in an accident, but it is important you understand the extent to which our volunteer program is covered by the City of Portland insurance. We want you to be aware of any potential risks involved with the tasks you have selected and use good judgment in performing those tasks.

As a volunteer, you are NOT covered by the City of Portland's Workers Compensation program. You are urged to have your own health insurance in the event you are injured while performing your volunteer duties.

You ARE covered by the City's General Liability Fund. This will protect you in the event of property damage or accidental injury to the public as a result of your volunteer duties assigned by Portland Parks & Recreation.

If you drive a motor vehicle as part of your volunteer duties, you must have a valid Oregon Driver's License. If you drive a City vehicle, you'll be covered for property damage or bodily injury to others resulting from a vehicle accident. You should have your own health insurance. If you wish to drive your own vehicle to perform volunteer duties, the above coverage applies; however, the City will not be responsible for any damage to your vehicle, so you must carry your own auto insurance for this purpose.

I have read, understand, and commit to the terms stated above. I have reviewed my application and I attest that the information is accurate and complete to the best of my knowledge.*
Comments

Thanks for your interest in volunteering with the Community Gardens Program!

* Required Field

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