Cville Ten Miler Individual Volunteer Sign Up Form
Required Required Question(s)
Required
Overview: In order to ensure the safety of runners as well as cheer them on, volunteers are needed throughout the 10 mile race course.

Volunteers will receive a race T-shirt and a detailed race packet detailing arrival/departure times and required duties to assist runners along the course, ensure their safety and cheer them on.

By submitting this form, I acknowledge that I understand that volunteering to work in club races is a potentially hazardous activity. I assume all risks associated with volunteering in club races, including but not limited to, falls, contact with others, the effects of the weather including high heat and/or humidity, the condition of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of this agreement, I, for myself and anyone entitled to act on my behalf, waive and release the Charlottesville Track Club, and all sponsors, their representatives and successors, from all claims or liabilities of any kind arising out of my participation as a volunteer in this event.
First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Class Year (if applicable):
 

  • 50 character(s) left.
Age:
 

  • 50 character(s) left.
Required
Are you a member of the Charlottesville Track Club?
Yes
No
Required
Are you a current volunteer for one of our beneficiaries?"
Emergency Food Bank
Blue Ridge Area Food Bank - Jefferson
Blue Ridge Area Food Bank - Shenandoah
Meals on Wheels
No
Required
Are you a current Madison House volunteer?
Yes
No
Required
Do you have transportation?
Yes
No
Organization/Group Affiliation (if any):
 

  • 50 character(s) left.
If possible, I would like to volunteer with:
 

  • 350 character(s) left.
Required
T-Shirt Size
Small
Medium
Large
Additional Comments:
 

  • 1000 character(s) left.