Your informationRequired fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
First Name *
Last Name *
^^If you haven't already, PLEASE OPT-IN to receive SMS/Text messages above. Clean Vibes does not send texts unless completely necessary (on-site emergency weather updates, schedule changes, etc). Thank you!
Zip Code *
Zip/Postal Code *
If not a US resident, please list full mailing address here:
Date of Birth:YOU MUST BE 18+ TO VOLUNTEER AT THIS EVENT! *
A valid date as MM/DD/YYYY (for example: 11/30/2015)
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship *
T-Shirt Size: *
Please choose your preferred volunteer position. *
How did you hear about volunteering for Clean Vibes? *
If other please let us know how you heard about volunteering with us.
Friend name #1
Friend name #2
Next, acknowledge you have carefully read and understood the 'Terms and Conditions' set forth above, and that you agree to the terms contained therein on behalf of yourself or a minor for which you are the legal guardian. *
Please enter your name here to serve as a digital signature for the Terms and Conditions. *
AGREEMENT AND RELEASE OF LIABILITY
I acknowledge that I have voluntarily applied to perform services for Clean Vibes, LLC (“Clean Vibes” or the “Company”) in exchange for my admission, free of charge, to the Louder Than Life (the “Event”). I agree that I receive a material benefit through my admission to the Event, to which I am not otherwise entitled. By signing below, I understand and agree that I will not be paid for my services, that I will perform any services solely as a volunteer, and that I am not an employee or agent of the Company.
I further acknowledge and agree that Clean Vibes may, at any time and its sole discretion, prohibit me from performing further services for Clean Vibes and/or prohibit my admission to the Event.
In consideration for my free-of-charge admission to the Event, to which I agree I am not otherwise entitled, I, on behalf of myself, my heirs, executors, administrators, assigns, personal representatives, and any and all other persons claiming by and through me, hereby knowingly and voluntarily covenant not to sue and fully and forever release Clean Vibes, LLC, Clean Vibes Trading Post, Inc., Louder Than Life, VolunteerLocal, and their affiliates, officers, directors, shareholders, employees, former employees, managers, members, agents, attorneys, volunteers, representatives, predecessors, successors and assigns (hereinafter collectively referred to as “Clean Vibes and Representatives”), from any and all claims, demands, damages, losses, actions, suits, causes of action, debts, costs, expenses, attorneys’ fees, judgments, and all other liabilities that may arise from performance of any services for Clean Vibes, LLC and/or from my admission to the Event. This release extends to claims arising from any cause whatsoever, including but not limited to the negligence of Clean Vibes and Representatives and breach of contract, excepting gross negligence or intentionally wrongful conduct.
I ACKNOWLEDGE THAT THE ACTIVITIES DESCRIBED HEREIN MAY INVOLVE A TEST OF A PERSON'S PHYSICAL AND MENTAL LIMITS AND MAY CARRY WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY, AND PROPERTY LOSS. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, ticket-holders, guests, volunteers, event staff and subcontractors, and/or producers of the Event. I acknowledge and understand that such risks cannot be eliminated without changing the nature of the activities described herein and the activities’ value and appeal. I acknowledge and voluntary assume all risk of accident, injury, illness, death, or damage to my person which may be caused by, incurred from, or in any way related to my performance of any services for Clean Vibes, LLC and/or my admission to the Event.
I agree to hold harmless and indemnify (that is, defend and pay, including costs and attorneys’ fees) Clean Vibes and Representatives from liability for any claim, including damage to property or personal injury, illness, or death, of any third party (including other volunteers) arising from or in any way related to my performance of services for Clean Vibes, LLC and/or my admission to the Event. This indemnity includes claims arising from the negligence (excluding gross negligence or intentionally wrongful conduct) of Clean Vibes and Representatives.
In the event that I should require medical care or treatment in any way related to my performance of services for the Company and/or my admission to the Event, I authorize the Company to secure from any appropriately licensed hospital, physician, and/or other healthcare provider any care or treatment deemed by such healthcare provider as necessary for my immediate care. I further agree that I will be financially responsible for the payment of any costs incurred as a result of any and all medical services rendered to me pursuant to this paragraph.
Should any paragraph, subparagraph, or any portion of this Agreement and Release of Liability be invalid or unenforceable, it is agreed that the same shall not be held to affect the validity or enforceability of any other section or subsection or portion thereof. This Agreement and Release of Liability shall be governed and construed in accordance with the laws of the State of North Carolina, without regard to the principles of conflicts of law.
I ACKNOWLEDGE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTAND THIS "AGREEMENT AND RELEASE OF LIABILITY," INCLUDING THE AUTHORIZATION TO SECURE MEDICAL TREATMENT AND THE RELEASE OF ALL CLAIMS. I AGREE THAT I SIGN THIS AGREEMENT VOLUNTARILY AND OF MY OWN FREE WILL.