Skip to form

City of Sioux Falls

231 N Dakota Ave, Sioux Falls, SD, 57106, US

Volunteer Contact Information

Volunteer's Name

Can we send text updates related to volunteering to your phone?


Volunteer Release


I wish to further the work of the City of Sioux Falls by performing services as a volunteer for recreation activities and/or park clean-up activities. I will perform these services as a volunteer without compensation. In performing said services, I acknowledge that I am not acting as an employee of the City of Sioux Falls or any of its offices, boards or commissions.

Acknowledgment and Assumption of Risk. I recognize providing volunteer services may involve physical labor and/or carry a risk of personal injury. I also recognize there are natural and manmade hazards, environmental conditions, diseases, and other risks, which in combination with my actions can cause injury to me. I agree to assume all risks which may be associated with or may result from my participation as a volunteer, including, but not limited to, transportation to and from volunteer sites, transporting and planting trees, collecting trash and debris, and other similar activities. I recognize these activities will involve physical activity and may cause physical and emotional discomfort. I state that I am free from any known heart or other known health problems which could prevent me from participating in any of these activities. I am sufficiently physically fit to participate in these activities. I accept the responsibility to refuse any work assignment if I feel it would jeopardize my health, believe it to be illegal, or feel that I am not qualified to perform.

Waiver and Release of Liability. I hereby release the City of Sioux Falls, the Helpline Center, their agencies, departments, officers, employees, agents, and all sponsors and/or officials and staff of any said entity or person, their representatives, agents, affiliates, directors, servants, volunteers, and employees (collectively the “City”) from the cost of any medical care I receive while participating as a volunteer. I also waive, release, and discharge the City from any and all liability, claims, demands, actions, and causes of actions whatsoever, for any loss, claim, damage, injury, illness, attorney’s fees or harm of any kind or nature to me or my property arising out of any and all activities associated with participating in the tree planting activities, and cleanup efforts or as a result of it. I further agree to hold harmless, and hereby release the City from all liability, negligence or breach of warranty associated with injuries or damages claimed by me, my family, estate, heirs, or assigns from or in any way connected with participating in City sponsored tree planting activities, and cleanup efforts.

Insurance. I understand neither the City of Sioux Falls, nor any of its officers, boards, or commissions assumes any responsibility or obligation to provide financial or other assistance of any kind, including, but not limited to medical, health, workers’ compensation, or disability insurance, in the event of injury, illness, or death or property damage. The City of Sioux Falls does not carry or maintain, and expressly disclaims responsibility for providing health, medical, workers compensation, or disability insurance coverage for volunteers.​


  • Consent to Medical Treatment. In the event of injury while participating in any and all activities associated with the City sponsored tree planting activities, I consent to receive any emergency medical aid, anesthesia, and/or medical treatment or operation if, in the opinion of the attending physician, such treatment is necessary.

Photographic Release. I hereby grant unto City of Sioux Falls and the Helpline Center all rights to any and all photographic and video images made during my service for the City sponsored volunteer activities for the City’s internal use or reasons of publicity.

IMPORTANCE OF SIGNATURE. I, the undersigned participant, am freely signing this agreement. I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which may otherwise be available to me regarding any losses I may sustain as a result of my participation. I agree that if any portion is held invalid, the remainder will continue in full legal force and effect. I HAVE CAREFULLY READ AND UNDERSTAND THE CONTENTS OF THIS VOLUNTEER RELEASE AND WAIVER OF LIABILITY AGREEMENT, AND SPECIFICALLY INTEND IT TO COVER MY PARTICIPATION IN PARKS AND RECREATION VOLUNTEER ACTIVITIES

Is the volunteer under 18?

Volunteer Signature

Choose how to sign

Emergency Contact Information

Contact Person