Thank you for your interest in volunteering with the Selway Bitterroot Frank Church Foundation. Please complete the following questions as completely as possible for each individual signing up for the project (sorry no group registration). We will review the information you have provided us and get back to you with additional information about the project(s) you have registered for. If you have any questions about this registration page or for more information about a project please contact the Selway Bitterroot Programs Director, Coby Gierke, at 503 679 2568 or by email at cgierke@selwaybitterroot.org
1. Please provide us with the following contact information:
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.
12. Following are several questions about your medical/physical condition. This is kept private by the Selway Bitterroot Frank Church Foundation leader(s) on-site so that we know if there are medical things we should be aware of about you. *
14. Insurance Provider Information
24. Emergency Contact Information
All participants must complete this form including the e-signature. For Participants under 18 years of age, one parent or legal guardian must also sign. Selway-Bitterroot Frank Church volunteers may be covered for tort claims and injury compensation by the U.S. Forest Service under the Selway-Bitterroot Frank Church Foundation's sponsored volunteer agreement with the U.S. Forest Service. Tort and injury coverage are conditional upon volunteers working within prescribed safety limits and protocols. At the beginning of each project a Job Hazard Analysis document, which reviews safety concerns and protocols for the project, will be reviewed with all participants. Each participant must sign the Job Hazard Analysis document after the pre-project review. Refusal to signs the document will result in dismissal from the project. The Selway-Bitterroot Frank Church Foundation reserves the right to remove any participant from a project for any reason. By affixing your e-signature to this form, you acknowledge that you have carefully read and understand this form. By affixing your e-signature to this form you also authorize the Selway-Bitterroot Frank Church Foundation to use your/or your child's photo for sale or reproduction in any manner that the Selway-Bitterroot Frank Church Foundation desires, for advertising, display or other uses.
25. ACKNOWLEDGEMENT: I have filled out this information thoroughly and to the best of my knowledge. In respect to those who have donated financially to fund the Selway-Bitterroot Frank Church Foundation's expenses towards these volunteer projects, I will do my best to commit to registering for this project, and will notify SBFC immediately if I must cancel my registration. *This question is required.
26. Please sign here. *This question is required.
27. If you have a signed Volunteer Registration Packet, please upload it here.