Volunteer Application

  • Date Format: MM slash DD slash YYYY
  • I UNDERSTAND THE NATURE OF THE PROGRAM FOR WHICH I WISH TO VOLUNTEER AND CERTIFY THAT THE STATEMENTS ABOVE ARE TRUE AND CORRECT. I UNDERSTAND THAT THE FIRST 10 HOURS OF MY VOLUNTEER SERVICE WILL BE ON A TRIAL BASIS.
  • Date Format: MM slash DD slash YYYY
  • Medical Release

  • In the event that an emergency arises while volunteering at the Langton Green Community Farm requiring medical treatment, I authorize Langton Green, Inc. to select and designate nurses, physicians, and/or surgeons to furnish medical and/or surgical care, and I authorize such medical and/or surgical care, as in the judgment of a physician and/or surgeon holding a physician’s surgeon certificate issued by the Board of Medical Examiners of the State of Maryland, as may be needed and proper. I absolve the Langton Green Community Farm, nurses, physicians, and/or surgeons selected and designated by any of them, from any and all liability for their acts rendered in good faith.
  • Date Format: MM slash DD slash YYYY
  • Informed Consent

  • I recognize and understand that the activities of my volunteer project(s) at Langton Green, Inc. may be hazardous. I hereby expressly and specifically assume responsibility for any injury or harm resulting from these activities and release and discharge Langton Green, Inc. and representatives thereof from any and all liability for property damage, injury, illness, or death resulting from any volunteer activity.
  • Date Format: MM slash DD slash YYYY
  • Policies and Procedures

  • I have read and understand the policies and procedures of the Langton Green Community Farm.
  • Date Format: MM slash DD slash YYYY
  • Emergency Contact