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L.A. Works


	Be the Change. Volunteer.

Welcome to the L.A. Works Member Registration.

Use the form below to register as a volunteer for L.A. Works projects, courses, and special events.

* denotes a required field

Member Registration Form

First Name *
Last Name *
Date of Birth *
	mm/dd/yyyy
We require date of birth for verification of eligibility with affiliate projects/activities and for demographic reporting for funders.

Mailing Address *
Address Line 1 *
Address Line 2
City *
State *
Zip code *
Region

Main Phone Number *		Type*
Other Phone Number		Type

Place of Employment

Your login information will be:

Email Type *

E-mail Address *

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Password *

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How did you hear about us?

	Church or Civic Group			Employer / Co-Worker
	Friend			Newspaper
	Radio			Television
	Web Page/Internet			Other

Terms and Conditions

I wish to volunteer my services to various community service organizations and projects through you, L.A. Works, Inc. ("L.A. Works"), a nonprofit California Corporation. In consideration of your locating, arranging, coordinating and/or making available volunteer opportunities, I hereby agree and release you as follows:

1. I acknowledge and agree that the nature of the Volunteer Services which are typically performed by L.A. Works volunteers, and which may be performed by me as an L.A. Works volunteer, may involve (a) physical activity (including without limitation work with heavy tools and materials), (b) contact with unidentified and unfamiliar persons, (c) travel to and from various unspecified locations, and (d) other potential risk of injury. Notwithstanding the preceding sentence, I willingly and freely agree to volunteer and hereby assume any and all risk, with respect to any liability of L.A. Works for such risk, including without limitation risk of any accident or injury to person or property which I may sustain in connection with my participation as an L.A. Works volunteer or in any L.A. Works related project or activity.

2. The undersigned hereby releases you and your directors, officers, partners, agents, employees, successors, assigns, licensees, sponsors, donors, representatives, guests and affiliates from and covenants not to sue you for, any and all claims and causes of action, whether known or unknown, arising out of, based upon or relating to my participation as an L.A. Works volunteer or in any L.A. Works related activity or project. I hereby acknowledge that L.A. Works is an organization involved in assisting organizations and associations which may from time to time be involved with child care and related matters. I hereby confirm, represent and warrant that I have never been convicted of a violent crime, child abuse or neglect, child pornography, child abduction, kidnapping, rape or sexual offense, nor have I ever been ordered by a court to receive psychiatric or psychological treatment in connection herewith.

3. I further irrevocably grant to L.A. Works, its assigns and successors, my consent and full right to: use my name, photograph, likeness, image, voice and biography in any and all media, publications, advertising, and publicity, in connection with my participation hereunder.

4. This release shall inure to your benefit, as well as to the benefit of your successors, licensee, agents, employees, affiliates and assigns. This release shall be governed by the laws of the State of California.

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L.A. Works
570 W. Ave 26, Suite 400
Los Angeles, CA 90065
323.224.6510
info@laworks.com

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