I acknowledge that the City of Loveland (City) is authorized to make any investigation regarding employment, volunteer or other history of any volunteer applicant. In the event that I am placed as a volunteer with the City, I agree to comply with all of its rules and regulations including without limitation the City Administrative Regulations posted on the Volunteer internet page and any rules specific to the program for which I volunteer. I understand that each volunteer is covered by an Accident Medical Insurance Policy with a limit of $15,000 per incident and accept this as the limit of City liability while I perform or my minor child/ward performs as a volunteer with the City. I understand that no volunteer in the Volunteer Program is insured by Workers’ Compensation insurance. I acknowledge that there are dangers and risks associated with participation in the Volunteer Program and assume such dangers and risks, and any related injury, damage or loss for myself and/or my minor child/ward. In the event of an emergency, I authorize the City to secure medical treatment for my own or my minor child’s/ward’s immediate care, and agree to be responsible for payment of any medical services rendered. To the extent permitted by law, I hereby release and agree to indemnify the City, its officers, employees, and agents and any landowner upon whose property any Volunteer Program activities occur from any claims, demands, actions, damages and liability whatsoever, including without limitation any claims of personal injury and property damage arising from participation in the Volunteer Program by me or my minor child/ward. The City has my permission to use my image and/or the image of my minor child/ward for public relations purposes, unless I provide direction otherwise in writing. I certify that all statements on this application are true and complete and that I have read and understand this Acknowledgement and Release. I understand that false statements on this application shall be considered sufficient reason for termination of volunteer placement. A minor’s signature must be accompanied by the signature of the parent or guardian. All forms are confidential.