Volunteer application for disaster response

In times of disaster, our United Way is the official volunteer and donations arm of Broward County's Office of Emergency Management. To provide assistance before, during or after a disaster, please complete the form below. If the County or a United Way partner agency needs volunteers, you will be contacted. 

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 Have you participated in the following trainings?

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 I HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS United Way of Broward County, ITS AFFILIATES, AND THEIR DIRECTORS, OFFICERS, SUCCESSORS AND DESIGNS, AND THE ORGANIZERS, SPONSORS AND SUPERVISORS OF ALL ACTIVITIES (PARTIES), FROM ANY AND ALL CLAIMS, LOSSES, DAMAGES, OR LIABILITY IN CONNECTION WITH ANY INJURY OR CLAIM OF DAMAGES INCLUDING ATTORNEY FEES. I UNDERSTAND AND ACKNOWLEDGE THAT THIS RELEASE DISCHARGES PARTIES FROM ANY LIABILITY OR CLAIM I MAY HAVE WITH RESPECT TO BODILY INJURY, PERSONAL INJURY OR PROPERTY DAMAGES THAT MAY OCCUR WHILE I AM PROVIDING VOLUNTEER SERVICES IN CONNECTION WITH United Way of Broward County.
 FURTHERMORE, I UNDERSTAND THAT PARTIES DO NOT ASSUME ANY RESPONSIBILITIES OR OBLIGATION TO PROVIDE ME WITH FINANCIAL ASSISTANCE, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH OR DISABILITY BENEFITS IN THE EVENT OF ANY INJURY, ILLNESS OR DAMAGE TO MY PROPERTY. AS A VOLUNTEER, I EXPRESSLY AGREE THAT THIS RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE STATE OF FLORIDA. AND I AGREE THAT IN THE EVENT THAT ANY CLAUSE OF THIS RELEASE IS DEEMED INVALID, THE ENFORCEABILITY OF THE REMAINING PROVISIONS OF THIS RELEASE SHALL NOT BE AFFECTED. I GRANT AND CONVEY TO UNITED WAY ALL RIGHT AND INTEREST OF ALL PHOTOGRAPH, IMAGES, VIDEO OR AUDIO RECORDINGS OF ME OR MY LIKENESS MADE BY UNITED WAY IN CONNECTION WITH MY PROVIDING VOLUNTEER SERVICES TO UNITED WAY.
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