Mercer Botanic Gardens Volunteer Form
Full Name:
 
Birthday:
   
Mailing Address:
 
City:
 
State:
Zip code:
 
Cell phone:
E-mail:
 
Current Employment Status?



 
Employer:
 
Job Title:
 
Work Phone:
Volunteer Opportunities
Days you are available to volunteer:
Number of hours available per week?
 
Horticulture:




Computer:


Education:


Office:




Botanic Center:

Events:

Other:


Languages spoken or read:
Hobbies:
Other Volunteering
Are you currently or have you previously volunteered for an organization?
If "Yes," note the name of the organization, and briefly describe your duties
Education and Training
Master Gardener or Master Naturalist:
Pertinent Degree or Certification:
Will your volunteer services fulfill an educational requirement?

If "Yes," Please complete the following information below. 
Name of teacher/professor:
School/college/university:
Email:
Phone:
Personal Information (References: List the name and phone number of a personal reference.)
Name:
 
Phone:
Emergency contact:
 
Phone:
Relationship:
 
Medical/Allergies:
 
Releases and Agreements
 I understand that the following agreements are a prerequisite to my participation in the volunteer program at Mercer Botanic Gardens (MBG) and, further, I understand that these agreements are made in consideration of MBG and Harris County allowing me to participate in the volunteer program.

I recognize my participation in the MBG program is on a voluntary basis. I understand that MBG volunteers may work with the public, including children, and that a personal background check may be required in order to participate in some volunteer areas. I understand that MBG is under no obligation to use my services in the volunteer program and may terminate the use of my volunteer services at any time without notice to me.
 
I further acknowledge and understand that I will receive no compensation, wages, insurance coverage, or any other employment benefits for my work at MBG. While providing volunteer services, I will follow any rules or requirements set forth by MBG. I understand that MBG has sole discretion to assign tasks to volunteers and may change these assigned tasks without notice to me.
 
INDEMNITY AND RELEASE: I, THEREFORE, AGREE TO INDEMNIFY AND HOLD MERCER BOTANIC GARDENS AND HARRIS COUNTY, THEIR OFFICERS, AGENTS, AND EMPLOYEES HARMLESS FROM ALL CLAIMS OF ANY CHARACTER, TYPE, OR DESCRIPTION, INCLUDING, BUT NOT LIMITED TO NEGLIGENCE, GROSS NEGLIGENCE, AND/OR WILLFUL AND MALICIOUS CONDUCT ARISING OUT OF MY PARTICIPATION IN THE VOLUNTEER PROGRAM AT MERCER BOTANIC GARDENS. I ALSO RELEASE AND HOLD MERCER BOTANIC GARDENS AND HARRIS COUNTY, THEIR OFFICERS, AGENTS, AND EMPLOYEES HARMLESS FROM ALL CLAIMS OF ANY CHARACTER, TYPE, OR DESCRIPTION, INCLUDING, BUT NOT LIMITED TO, NEGLIGENCE AND/OR GROSS NEGLIGENCE, WHETHER OR NOT SUCH NEGLIGENCE IS CAUSED BY AN OFOFFICER, EMPLOYEE, OR VOLUNTEER OF MERCER BOTANIC GARDENS OR HARRIS COUNTY, RESULTING IN ANY INJURY TO MYSELF OR MY PROPERTY BECAUSE OF MY PARTICIPATION IN THE VOLUNTEER PROGRAM. 

Photo and Video Release
The following agreement is intended to allow Harris County Precinct 4 to publish photographs/video taken of the participant(s) for printed Precinct 4 publications, Mercer Botanic Gardens Facebook, and the Precinct 4 website. 

We/I hereby give permission to use of images taken of the group the individuals, of the group, and children, captured during regular or special activities through cameras and/or video, to be used solely for the purposes of Harris County Precinct 4 and waive any rights of compensation or ownership thereto.