2019 SAFETY TOWN CHAPERONE/VOLUNTEER APPLICATION

Applicants must be entering 8th grade or higher and willing to volunteer for the entire week of one or more sessions of Safety Town. Please complete the form below no later than May 1st. All chaperones and volunteers will be required to attend one of the mandatory informational meetings (even if you have in the past) scheduled on Thursday, May 16th 5:30-7:00 PM or Saturday, May 18th  9:30-11:00 AM. Both meetings will be held at the Delaware County Sheriff’s Office Administrative Building, 149 N. Sandusky St., Delaware, OH 43015.

All chaperones and volunteers who are over 18 are required to pass an FBI/BCI background check prior to the start of Safety Town. FBI/BCI background checks may be obtained free of charge ONLY at the Delaware County Sheriff’s Office Jail location – 844 US Highway 42 North, Delaware, OH 43015 Monday-Friday 8:30 am – 2:00 pm. Upon arrival, notify the Sheriff’s Office employees that you are doing a background check for Safety Town. All those who haven’t obtained a background check prior to the informational meeting, will be required to complete one at that time.

Select the session(s) below you would like to volunteer for (click all that apply).

 

 


Registration form

  • Please review the following acknowledgment and release. In consideration of the opportunity to participate in the activities (“Activity”) offered by the Delaware County Sheriff’s Office, the undersigned hereby agrees and states as follows: 1. My child is competent and physically able, capable, and qualified to participate in the Activity. 2. I agree to voluntarily allow his or her child to participate in the Activity entirely upon the undersigned’s own initiative, risk, and responsibility, and I acknowledge that there are inherent risks and dangers to the participant associated with the Activity. 3. I hereby acknowledge and certify that: a. That my child participates in the Activity at his/her own risk. b. I understand and agrees on behalf of himself/herself and his/her heirs, executors, administrators, successors or assigns, and any and all releasers, to forever waive, release, protect, indemnify, and hold completely harmless the organizers of this Activity, including, without limitation, Delaware County, the Delaware County Board of Commissioners, the Delaware County Sheriff, and all of their respective boards, departments, officials, officers, employees, representatives, agents, volunteers, servants, and/or other person or persons acting on behalf of such, from any and all claims, demands, actions or causes of action, on account of any injuries or damage to the undersigned or the undersigned’s personal property which may occur relating to participation in this Activity, whatever the source or nature, whether or not said harm or injury occurs through the misfeasance, malfeasance, negligence, recklessness, or unintentional conduct of any of the foregoing or for said harm or damage caused by the acts of a person or persons not employed by or associated with any of the foregoing. I, the undersigned, acknowledge that I have read, understand, and agree to all terms and conditions herein and fully accept the same and agree to be bound thereby. By clicking below, I am stating that I have read this acknowledgment and release by my own free will. *
  • The undersigned hereby grants to the Board of Commissioners of Delaware County, Ohio, the Delaware County, Ohio Sheriff’s Office, Delaware County, Ohio, and their respective boards, officials, officers, designees, agents and assigns (collectively “County”), unlimited permission to use, publish and republish in any form or media, information about the undersigned and reproductions of the likeness and the voice (photographic, video recording, audio recording, or otherwise) of the undersigned, with or without identification of the undersigned by name (“Publication”). The undersigned agrees to indemnify and hold free and completely harmless the County from any and all actions, claims, suits, demands, judgments, damages, losses, costs, and expenses, including, but not limited to attorney’s fees, arising out of or resulting from Publication. Likewise, the undersigned agrees to waive and release the County from any and all claims, actions, causes of action, demands, and rights of any and all kinds whatsoever, which the undersigned has, may have, or which may accrue against the County and all of their respective successors or assigns from Publication. By clicking below you either consent or do not consent to the above statement