GenWEL United Flint Juneteenth Kickoff Volunteer Sign-Up Form

Event Date: Saturday, June 7, 2025
Location: Hasselbring Park, Flint, MI

Thank you for your willingness to serve! Please fill out the form below to help us coordinate roles and responsibilities for a smooth, impactful event.

Name

First Name

Last Name

Phone

(###)

###

####

Emergency Contact

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Availability

Morning Set-Up (11:00 AM-2:30 PM)

Event Help (2:30 PM – 6:00 PM)

Volunteer Interests

Welcome Table / Check-In

Vendor Assistance

Stage/Speaker Support

Floater (Help wherever needed)

Health or Limitations

Volunteer Agreement & Liability Waiver

Volunteer Agreement & Liability Waiver By signing below, I acknowledge that I am volunteering for the GenWEL United Flint Juneteenth Kickoff event on June 7, 2025. I understand that my participation is voluntary and that I will not receive financial compensation. I agree to follow all instructions given by event organizers and to act in a safe, respectful, and responsible manner. I release and hold harmless GenWEL United Inc., its officers, agents, partners, and affiliates from any and all liability, claims, or demands arising out of my participation, including but not limited to injury, illness, property damage, or loss. I certify that I am 18 years of age or older, or that I am the legal guardian of the minor volunteer listed above.

I agree to the Terms & Conditions (Checkbox required before form submission) 1