49 North Winters Sport Foundation Volunteer Packet

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1 49 North Winters Sport Foundation Volunteer Packet Thank you for your interest in the 49 North Winters Sport Foundation Volunteer Program. The 49 North Winters Sport Foundation has a wonderful network of outstanding and committed volunteers who assist the 49 North Winters Sport Foundation committees with programs, services and advance our communities health, safety, athletes, happiness and traditions. Each of our volunteer positions has different requirements duties, responsibilities, training and more. We hope to help you extend your talents and support our alpine community and its mission. Our goal is to match volunteers with the position that helps you meet your goals and supports our alpine community needs. Volunteer work schedules vary and depend on need. They are determined by the supervisor and the volunteer. Attached you will find the volunteer application material, which include: +) Application to Volunteer +) 49 North Winters Sport Foundation Volunteer Individual Waiver Completed application materials should be turned in to the 49 North Winters Sport Foundation Volunteer Program Office at the 49 North Administrative Office, 3311 Flowery Trail Road, Chewelah, WA Please contact the Volunteer coordinator at (509) or via at if you have questions regarding the volunteer program, application materials.

2 Workers Compensation for 49 North Winters Sport Foundation Volunteers What are the criteria for being a 49 North Winters Sport Foundation volunteer? +) Performs assigned/authorized duties for the 49 North Winters Sport Foundation without receiving wages. +) Chooses freely to perform his/her assigned/authorized 49 North Winters Sport Foundation duties. +) Duties directly benefit the 49 North Winters Sport Foundation and are supervised by 49 North Winters Sport Foundation personnel. Reported by a 49 North Winters Sport Foundation committee. How is a 49 North Winters Sport Foundation volunteer registered/reported? The committee is responsible for maintaining the following information on each 49 North Winters Sport Foundation volunteer: +) Name of the Volunteer +) Month of the volunteer activity +) Dates, times, and hours of the activity by the volunteer +) Brief description of the volunteer service provided Volunteer designation must occur prior to any duties being performed. 49 North Winters Sport Foundation committees will pay a small premium for each hour of volunteer work performed for workers compensation insurance. The committee submits a completed Monthly Volunteer Report to the 49 North Winters Sport Foundation by the 15 th of the following month each month of volunteer activity. What insurance is available if a 49 North Winters Sport Foundation volunteer is injured and/or exposed? All volunteers that are reported are covered under the Washington State Department of Labor and Industries workers compensation insurance. Workers compensation for volunteers covers medical expenses at 100%, but does not cover wage loss. There are no deductable or out-of-pocket expenses to the injured volunteer. Medical benefits are paid until the injury no longer requires medical treatment. Note: If the department does not report or under reports hours, volunteers may not be covered in the event of an incident or exposure. Contacts/References +) 49 North Winters Sport Foundation Volunteer Program Office at the 49 North Administrative Office, 3311 Flowery Trail Road, Chewelah, WA ) Volunteer coordinator at (509) or via at if you have questions regarding the volunteer program, application materials.

3 49 NORTH VOLUNTEER SERVICE AGREEMENT This Agreement is made by the between the 49 North Winter Sports Foundation, hereinafter referred to as the Foundation and (Print First and Last Name) hereinafter referred to as the Volunteer. The purpose of the Agreement is to outline the responsibilities of the Foundation in providing volunteer opportunities, and to create an understanding between the Foundation and the Volunteer. This Agreement shall apply to persons voluntarily performing non-compensated services for the Foundation, including but not limited to, national ski patrol patrollers, national ski patrol mountain hosts, internships, recreational programs, educational programs and safety programs. The Volunteer agrees to abide by all relevant Foundation policies and procedures and to perform the volunteer services in a safe and responsible manner. It is further understood that this Agreement shall not in any way constitute nor create an employer/employee relationship between the Foundation and Volunteer. Volunteers are not considered to be 49 North Winter Sports Foundation employees. The Foundation shall not be responsible for, nor liable for, nor shall the volunteer be eligible to receive, any compensation or benefits as result of the Agreement EXCEPT for State Labor and Industrial Insurance medical aid coverage. Injury Compensation is provided through the Department of Labor & Industries. I understand that as a registered volunteer with the Foundation, I am deemed a worker for all purposes relating to Workers Compensation benefits under RCW I understand that I am not being paid, reimbursed or compensated in any other way by the Foundation for service and time. I agree to perform in good faith my assigned or authorized volunteer duties as determined by 49 North Winter Sports Foundation. In order to successfully accomplish these volunteer duties, I agree to comply with applicable Foundation policies and procedures, state laws, and state regulations. In consideration of the Foundation giving me permission to perform these volunteer services, I understand that: +) I am not to appear for volunteer service under the influence of any drugs or alcohol. I agree to inform the supervisor at the beginning of the shift if taking any over-the-counter or prescription medications which may impair my ability to perform volunteer duties. +) I will abide by all the Foundation policies regarding personal conduct while performing volunteer services. +) I agree not go beyond the scope of volunteer work agreed to without authorization +) Should an injury occur during the scope of my service, I understand that the Foundation has included my hours of volunteer service in the State Labor and Industries coverage for volunteer workers and I understand that I am to report any on-the-job injury or illness, no matter how minor to my assignment coordinator/supervisor. +) I have been trained on any activity that I am unfamiliar with corresponding policies have been reviewed with me, and it is my responsibility to understand them completely or ask questions until I feel confident to perform the assigned tasks. BACKGROUND CHECK: To the best of my knowledge, the information herein is true and complete. I understand that falsification of this agreement is grounds for dismissal as a volunteer. Further I give permission for an authorized representation of the Foundation to conduct a state patrol criminal background check in accordance with RCW and to inquire of individuals about my ability to perform all aspects of the volunteer position for which I am being considered and I release the 49 North Winter Sports Foundation and those individuals/institutions that provide information from any liability that may arise from the provision of this information TERMINATION: I understand that I or the Foundation may terminate this agreement at any time without cause, and that I am volunteering my services at will and may be asked to discontinue such without prior notice or reason. RELEASE: As a volunteer for the 49 North Winter Sports Foundation, I am fully aware that the work associated with being a 49 North Winter Sports Foundation Volunteer involves certain risks of physical injury or death. Being fully informed as to these risks and in consideration of my being allowed to participate in the Foundation s Volunteer Program, I hereby assume all risk of injury, damage and harm to myself arising from such activities or use of Foundation and Chewelah Basin Ski Corporation dba 49 North Mountain Resort facilities. I also hereby individually and on behalf of my heirs, executors and assignees, release and hold harmless the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation dba 49 North Mountain Resort, its officials, employees and agents and waive any right of recovery that I might have to bring a claim or a lawsuit against them for any personal injury, death or other consequences occurring to me arising out of my volunteer activities.

4 I give permission to have my photo taken and used for publicity purposes by the Foundation. I authorize any necessary emergency medical treatment that might be required for me in the event of physical injury and/or accident to me while participating in this program. Signature of Volunteer: Date: If under 18 Parent or Guardian s Signature: Date: Volunteer Coordinator Name Coordinator Signature Form NORTH VOLUNTEER RELEASE OF LIABILITY READ BEFORE SIGNING Name: Date of Birth: Address: State: Zip: Cell Phone: Home Phone: Address:: In consideration of being allowed to Volunteer in any way in internships, recreational programs, educational programs and safety programs, the undersigned acknowledges and agrees that: WARNING - I understand that volunteering in skiing and /or snowboarding internships, recreational programs, educational programs and safety programs, including but not limited to event management, officiating, judging, course work, Ski Patrol and Mt Host activities as well as all forms of travel to and from race courses, venues and duty stations/areas involves risk of serious injury or death due to causes including but not limited to, loss of control or falling, contact with unexpected snow conditions, contact with objects whether above or below the snow surface natural or manmade, and the actions of others, Use of 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation (dba 49 North Mountain Resort) facilities, including but not limited to skiing, snowboarding, snowshoeing, the use of aerial and surface lifts, use of equipment, and other facilities, is HAZARDOUS. Falls and injuries are a common occurrence and you must keep deliberate and conscious control of your physical body, both on the ground and in the air, while properly using your equipment in variable weather and other conditions. Ski, snowboard, and snowshoe only within your ability. Safety is directly affected by your judgment in the severe elements of rough, high mountain terrain. Be alert to all risks, hazards and dangers at 49 North Mountain Resort facilities, including but not limited to: Variations in weather, variations in terrain (including terrain features, steepness and other variations, whether natural or man-made), surface or subsurface snow or ice conditions whether natural or machine-made, bare spots, rocks, trees, stumps, and other forms of forest growth or debris, lift towers and components thereof, other ski area components including lights, fences, posts, and signs, all of the foregoing whether above or below the snow surface; pole lines, snowmaking equipment, and other equipment, vehicles and machines including snowmobiles and snowcats; collision with any person, vehicle or object whether natural or man-made. The risk of serious injury and death does exist; and injury from the activities involved in volunteering is significant, including the potential for permanent paralysis and death. AGREEMENT: With knowledge and appreciation of the risk of serious injury or death, I nevertheless desire to volunteer my services, as a patroller or Mt Host and expressly assume the risk of injury or death while participating as a volunteer, knowing for myself that it is each skier or rider s sole and individual responsibility to know the range of his or her own ability to negotiate any course or terrain at all times, to heed all posted warnings, to ski only in areas designated by the ski area operator and to refrain from acting in a manner which may cause or contribute to the injury of anyone. I willingly agree to comply with the stated and customary terms and conditions for volunteering or participation. If however I observe any unusual significant hazard during my presence as a volunteer or my participation in any activities, I will remove myself or my child from volunteering or participation and bring such hazard to the attention of the nearest official immediately; RELEASE FROM LIABILITY - In consideration of being permitted to use the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation facilities I represent that I hereby agree to RELEASE, INDEMNIFY, DEFEND AND HOLD HARMLESS the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation dba 49 North Mountain Resort, their agents, officers, directors, owners, contractors, volunteers, employees and insurers (COLLECTIVELY, THE Released parties ) from any and all claims and liabilities arising out of or in connection with volunteer activities by the volunteer INCLUDING CLAIMS BASED ON NEGLIGENCE OR BREACH OF WARRANTY. I am fully aware of and accept all risks, hazards and dangers associated with using the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation facilities and I am fully responsible for any and all damage or injury of any kind that may result from my use of the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation facilities. I promise not to sue the Released Parties and agree that if anyone is physically injured or property is damaged while I am using the 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation facilities, I will have no right to make any claim or file a lawsuit against the Released Parties, and, I further understand that as a volunteer I am not an employee, and therefore I am not covered by Chewelah Basin Ski Corporation s Workers Compensation, liability or other insurance policies. I understand this RELEASE shall apply to personal injury and property damage incurred by me in connection with providing volunteer services for 49 North Winter Sports Foundation at the Chewelah Basin Ski Corporation facilities, I, for myself and on behalf of my heirs, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS 49 North Winter Sports Foundation and Chewelah Basin Ski Corporation dba 49 North Mountain Resort, the officers, officials, agents and/or employees, other volunteers or participants, sponsoring agencies, sponsors, advertisers and, if applicable, owners and leasers of premises used to conduct the

5 events ( Releasees ), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Signature of Volunteer: Date: If under 18 Parent or Guardian s Signature: Date:

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