City of Fort Worth and Graffiti Abatement Policy and Waivers

I affirm that the information in this application is accurate and complete. I understand that this information is subject to verification by the City of Fort Worth. I authorize any person holding information related to my application to release it to the City of Fort Worth if so requested. I understand that the information provided by me may be used for the purpose of determining my eligibility. I hereby release, indemnify, and hold harmless any government entity, employer, and person furnishing or receiving records and information about me. I understand that any false information or omission in my application may be justification for refusal or for termination of service with the City of Fort Worth.

I understand and agree that I am a volunteer when participating in all activities of the City of Fort Worth, and I shall receive no payment for my services. No contract or agreement of employment is created by any written or oral representations made in connection with the volunteer activity or in connection with any other program of the City of Fort Worth. I understand that I am not an employee of the City of Fort Worth, rather a volunteer who serves at the will of the City of Fort Worth. I have no expectation of continuing my participation in the program. As a volunteer, I understand that the City does not provide me with employee benefits, accident insurance, death benefits, compensation for lost time due to injury; nor does the City carry general liability insurance covering volunteers.

As a volunteer, I agree to perform to the best of my ability, the tasks as outlined in my job description or the tasks established by my supervisor; report to work on time, when scheduled, and if unable, to call my supervisor; to accept supervision, maintain confidentiality; observe its goals and objectives and give my supervisor adequate notice before termination as a volunteer.

I give permission to the City of Fort Worth to inquire about my qualifications and/or character. I understand that the information requested is for the purpose of a background/reference check; and this check may be made by phone, writing, or via the internet and may include present and past employers, motor vehicle and police records.

I hereby grant the City of Fort Worth permission to use, edit, alter, copy, exhibit, publish, or distribute photographs, videotapes, or other recordings or visual likenesses of me and/or the listed minor(s) that are made during the course of my volunteer activities in any and all of its publications or broadcasts, including website entries, without payment or any other consideration.

In consideration for the opportunity to engage in volunteer work during the City of Fort Worth Adopt-A-Mural Program (“Program”), I, the undersigned, either in my own capacity or as a legal parent or guardian on behalf of the minor listed below, hereby fully recognize, appreciate, and assume any and all risks associated with such participation and do hereby FULLY AND FOREVER WAIVE AND RELINQUISH, COVENANT NOT TO SUE, RELEASE, HOLD HARMLESS, DISCHARGE, DEFEND, AND INDEMNIFY the City of Fort Worth, its representatives, officers, agents, and employees (collectively, the “City”) from and against any and all actions, causes of action, lawsuits, debts, demands, damages, losses, claims, judgments, expenses, and/or liabilities (including, but not limited to, those related to personal and bodily injuries; illnesses; death; disability; property damage and loss; incidental, consequential, punitive, actual, and special damages; medical, hospital, or pharmaceutical expenses; and/or attorney’s fees), of whatsoever kind or character, whether real or asserted, arising out of or resulting from the acts or omissions of the undersigned volunteer or the minor child (if the undersigned is signing on behalf of a minor child) in connection with the Program.  Furthermore, it is my intention that the terms of this document shall apply EVEN IF THE INJURY, DEATH, OR PROPERTY DAMAGE ALLEGEDLY SUFFERED BY ME OR ANYONE ELSE IS CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE, GROSS NEGLIGENCE, INTENTIONAL ACT OR OTHER FAULT OF THE CITY.  This waiver, release, and indemnification shall be in effect for one year after signature.  I have carefully read this Waiver, Release, and Indemnification and fully understand it. 

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