This is an application to participate as a volunteer in the Northern Virginia Fall BrewFest. This application is valid for the person completing the form ONLY. All volunteers must be at least 21 years old to participate.
* denotes required field.
First Name*: Last Name*:
Street Address*: City*: State*: Zip*:
Preferred Telephone Number (Please enter at least one in this format: xxx-xxx-xxxx)*: Home: Work: Cell:
Email Address*:
What size T-shirt do you wear?* Small Medium Large X-Large XX-Large
Beer pouring spots on First Shift, Saturday and Sunday are full. If you wish to be added to the standby list, please select an open shift and indicate your standby preference in the comments block.
Shift Selection (Indicate your first and second choices below for day and shift):*:
Comments/Group Name (Indicate here by individual or group name any fellow volunteers who want to be assigned to the same shift):
Areas of interest:*
Tell us about your Brewfest Experience: Have you worked for other beer festivals? Yes | No If yes, which ones?
How did you hear about the BrewFest?* Select One Email InviteFriend/FamilyHomebrew ClubNewspaperRadioInternetOther
I acknowledge that I am aware of the risks associated with participating as a volunteer in this event and on my behalf and that of my heirs, do hereby release The High Road, Inc. and their employees, sponsors and agents from any and all claims, liabilities and/or damages on account of any personal injury or property damage which may occur from any cause before, during or after the event. I irrevocably grant The High Road, Inc. the exclusive rights to use my photo, name, likeness or reproduction of my involvement for the purpose of promoting or advertising the event now or in the future. With these rights, I hereby release The High Road, Inc. and their employees, sponsors and agents from any and all claims, liabilities and/or damages on which may now or in the future arise by reason of such use.
Signature** | Date * **If this form is completed electronically, name typed on signature line indicates that you comply with the above release statement.
