Contact the City

City of Independence
5409 Madison Pike
Independence, KY 41051
(859) 356-5302

Volunteer Corps Signup

Welcome! Thank you for taking this first step of getting involved. Please complete the signup form below and we will contact you when there is a project that we need your skills to complete. There will not be any further paperwork required.

Please Note: If you are under the age of 18 this form must be completed by a parent or guardian.

Inputs that begin with † are required

Mobile Landline
Small Medium Large X-Large XX-Large

Please select the skills that you possess and would volunteer to perform

Electrician (licensed)
HVAC (licensed)
Painting (building)
Plumber (licensed)
Medical (RN, MD, etc)
Artistic Painting (facepaint, murals)
Other (please specify)

Terms and Conditions

I, hereby fully release, discharge, indemnify and hold harmless the City of Independence and its officers, commissioners, members, directors, agents, employees, insurers, reinsurers, subcontractors and partners from and against any and all suits, claims, causes of action, damages, consequential damages, penalties, liability, losses, costs, attorney's fees, and expenses of any kind, whether known or unknown, in any way arising out of or related to volunteer events.

I further understand that I waive all claims and release the City of Independence Volunteer Corps Program and any other sponsoring non-profit or government agency from any use of my photograph or name. I hereby consent to the photographing of myself and the recording of my voice and the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage to reproduce and use such photographs and recordings of my voice for use in all domestic and foreign markets including the Internet.

† I agree that I am the person listed above and my digital signature below is the equivalent of a handwritten signature and all its legal binding.

© The City of Independence 2017
5409 Madison Pike Independence, Ky. 41051