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Love Your Block - Jackson, TN Volunteer Information Portal

Work-day Volunteers should read and fill out the form below.

Hold Harmless Agreement and Release of Liability City of Jackson

“I waive, release, absolve, indemnify, and agree to hold harmless the City of Jackson, and individual personnel for any claim arising out of injury to myself that is directly related to the activity of participating in the Love Your Block Event and all related activities.

I understand that if I am injured due to my negligence or intentional acts or negligence or intentional acts of others, I waive, release, absolve and indemnify the City of Jackson of all claims. I also understand that I will be responsible for carrying any and all necessary insurance coverage for that this activity requires to protect me from legal actions arising from my participation in this program.

In consideration of the acceptance of my application for the Love Your Block project, I hereby waive, release and discharge any and all claims for damages for death, personal injury, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said event. This release is intended to discharge in advance the CITY OF JACKSON, TN., its officers, employees, or agents from liability, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above.

It is understood that some activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns.

Minimum age requirement of volunteers is set at 12 years old and all volunteers under the age of 18 must be accompanied by an adult.


Volunteer Agreement

I understand that I will be considered a member of the team as a volunteer at the City of Jackson, and will be expected to assume the responsibilities of my job description.

I understand and agree to:

  • Dress appropriately for the job I’m doing including wearing closed-toed shoes.
  • Maintain a clean and neat appearance.
  • Be reliable and punctual.
  • Notify my supervisor prior to my start time, if delayed or unable to keep my schedule.
  • Make suggestions and ask the staff when I have questions.
  • Accept the rules and have my work reflect the value of the City’s mission statement.
  • Act as a responsible representative of the City of Jackson.
  • Not be under the influence of illegal drugs, alcohol, or other substances, which may jeopardize my performance and safety.
  • Abide by all policies and procedures as outlined by my supervisor, and understand I can be terminated from my volunteer opportunity at any time for not complying with the set guidelines.
  • A formal background check if I’m working in a safety or security-sensitive area.
  • I have read and understand the duties and policies outlined in the volunteer handbook.

In return, the City of Jackson agrees to:

  •  Provide necessary training and orientation.
  •  Provide adequate working conditions.
  •  Review volunteer performance, provide appropriate feedback, record volunteer hours, and provide letters of recommendation on request.
  •  Evaluate the volunteer program, solicit suggestions from volunteers as a means to correct any problems, and reassign volunteers, as needed.

Hold Harmless Agreement and Release of Liability City of Jackson and Volunteer Agreement

Hold Harmless Agreement and Release of Liability City of Jackson

*By checking the corresponding box, I confirm that I/my group have/has downloaded and/or read and understand and agree to the Love Your Block - Jackson, TN Hold Harmless Agreement and Liability Release Form. I also give parental consent for my son/daughter (under 18) to participate in Love Your Block - Jackson, TN and I execute the above Hold Harmless Agreement and Release of Liability on his/her/their behalf.

Volunteer Agreement

*By checking the corresponding box, I confirm that I/my group have/has downloaded and/or read and understand(s) the Volunteer Agreement. I understand that I will be considered a member of the team as a volunteer at the City of Jackson, and will be expected to assume the responsibilities of my job description.


*Name (Individual or Group Leader)


Group Name


*Email



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