Form Center

2. Full, legal name*
3. Date of birth*
   Date of birth
5. Address*
6. Texas Driver's License No. or Texas ID No.*
8. City*
9. State*
10. Zip Code*
12. Email Address*
13. Cell phone number*
15. What type(s) of volunteering are you interested in doing?*

    1. Community Beautification/Parks
    2. Community Events

    1. Emergency Management
17. Have you ever been arrested or charged with an offense?*

    1. Yes

    1. No

    _{I understand the Kemah Police Department may use the information provided in this form to run a background check as part of the vetting process for City of Kemah volunteers.}
    
    

19. Volunteer Photo Waiver & Liability Release*

    To participate in City of Kemah volunteer events, completion of this Volunteer Photo Waiver and Liability Release is required.

    By clicking “Yes” on this survey, I give the City of Kemah permission to take photographs and video of myself and any minors in my care for the purpose of promoting City-related programs and events. I release and discharge the City of Kemah from any and all claims arising from the use of such photos or videos, including any rights that I or the minors in my care may have.

    Furthermore, by clicking “Yes,” I acknowledge and accept full responsibility for myself and any minors in my care while participating in City of Kemah volunteer activities. I release the City of Kemah from any liability, including personal injury, property loss, or damage, and agree to hold the City harmless. I understand and accept the risks involved in volunteer participation on behalf of myself and all minors in my care.

    1. Yes
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field