Help build a playground at Bea Holman Park!

Project Information

Who: A total of approximately 175 volunteers from the City of Rocky Mount, Blue Cross and Blue Shield of North Carolina, and KABOOM!

Work is available for volunteers of all levels of skill and ability.

**Please note - All youth under the legal working age for this state will be welcome to participate in youth activities but will not be able to participate in building in the construction areas.**

When: Monday-Wednesday, September 23-25, 2024 from 8:00 AM - 3:00 PM

Where: Bea Holman Park, 510 N Harris St, Rocky Mount, NC 27804

What's Provided: Breakfast, lunch and water will be provided. Gloves and other safety materials will be provided for the projects that require them. All volunteers will receive a T-shirt to wear during the project.

What to Wear: The playground build will happen rain or shine. Please come dressed for the weather. Closed-toe shoes are required; sneakers or work boots that you don't mind getting dirty are advisable. Please leave valuables at home as secure storage is not available on site.

Build Site Rules: All participants must comply with the following practices. These rules have been established and agreed upon to ensure the safety, comfort and respect for all involved. Failure to comply will result in immediate dismissal from the project.

• Work together, treat everyone with respect and use family-friendly, inclusive language

• Report any unsafe or inappropriate behavior to on-site staff

• Please comply with all requests from on-site staff

• Follow all safety guidelines

• Only pre-approved power tools are permitted

• Closed-toe shoes are required

• Youth may not participate in areas of active construction

• No smoking, alcohol or drugs

• The use or carry of firearms is prohibited *with the exception of certified, active officers

Build Week Schedule

Prep Day 1: Monday, September 23, 2024

30 volunteers are needed.

• 9:00 AM - Volunteers arrive and register

• 4:00 PM - All prep work completed (approximate time)

Prep Day 2: Tuesday, September 24, 2024

15 volunteers should be on "stand-by" in case they are needed.

• 9:00 AM - Volunteers arrive and register

• TBD - All prep work completed

Build Day: Wednesday, September 25, 2024

175 volunteers are needed.

• 6:30 AM - Team Leaders arrive

• 8:00 AM - Volunteers arrive and register

• 8:30 AM - Kick-Off Ceremony

• 2:30 PM - Ribbon-Cutting Ceremony

This form must be signed by or on behalf of each volunteer who will participate in or otherwise be involved with the construction of the City of Rocky Mount, Blue Cross and Blue Shield of North Carolina, and KABOOM! Playspace Build (the “Playspace Build” or the “Project”), or will be on the construction site of the Playspace Build, occurring September 23-25, 2024 in Rocky Mount, NC. If you are unable to read this print, please speak with the person handling volunteer registration for assistance. The KABOOM! project and activities will include the playspace construction, side projects and play enhancement projects on and in the periphery of the playspace construction site including, without limitation, building interiors at or near the site. The "playspace construction site" is the physical space where the playspace is being installed; the playspace construction projects are any activities directly related to the installation and placement of the playspace equipment, the mixing of concrete, and/or moving safety surfacing onto the playspace site. Volunteers under age 18 (or under 19 in AL and NE) may not work on the "playspace construction site", as defined above. Volunteers under 18 but who meet this state’s minimum age for employment may work on the side projects, such as beautification and play enhancement projects, and other non-playspace construction site projects and may help with preparation for the build day only if they have received and delivered KABOOM! written approval from a parent or legal guardian for participation. Any children under state's minimum age for employment will not be supervised by KABOOM! in any way or be allowed to participate in playspace or non-playspace construction projects managed by KABOOM!; however KABOOM! will work with the community partner to procure supplies for use by these children and to help them plan projects that are occurring on a site that is distinctly separated from the playspace construction site. No children under this state’s legal working age should be on the playspace construction site. I understand that I will be spending the day(s) as a volunteer for the Project and will be participating at my own risk. I acknowledge that my participation is voluntary and does not constitute a condition or requirement of employment. I further acknowledge that the Project will occur at a construction site and that the construction site will be a potentially dangerous place. I attest that I am physically fit and prepared for this event and these activities. I will not create an unsafe situation for other individuals or myself nor will I use any tool or engage in any task with which I am not completely comfortable. I will abide by all applicable federal, state and local laws, as well as the rules and directions of the sponsors and coordinators. If I see any situation that I feel is unsafe, I will immediately call it to the attention of KABOOM! or a safety coordinator. If I bring any children or young adults with me to participate in the Project, I will be solely responsible for providing for their safety and will keep them under close supervision at all times. FOR EACH PARTICIPANT UNDER 18 (19 in AL and NE), THE PARENT OR GUARDIAN MUST FILL OUT A SEPARATE WAIVER. I understand that a volunteer may be at the Project to provide medical treatment in the event of an injury, and if necessary to assist in arranging transportation to medical facilities, but acknowledge that neither KABOOM! nor any other of the Released Parties (as defined below) are in any way responsible for providing such medical volunteer or treatment. On behalf of myself, as well as my heirs, executors, administrators and assigns, I hereby forever release, discharge, waive and agree to indemnify and hold harmless KABOOM!, City of Rocky Mount, Blue Cross and Blue Shield of North Carolina, Landscape Structures Inc. and any additional sponsors of the Project, along with their respective officers, directors, agents, employees, contractors, successors and assigns, and any volunteers to whom I give my consent to provide medical treatment to me or to any children or young adults under my supervision ("Released Parties"), from and against any and all claims, demands, actions, causes of action, obligations, liabilities, suits, losses, damages, costs, expenses, and fees, including, without limitation, court costs and attorneys’ fees, of any and every nature of character, including, without limitation, for death, personal injury and/or loss of property, whether anticipated or unanticipated, directly or indirectly, whether caused, in whole or in part, by the sole or concurrent negligence or wrongdoings, strict liability or fault of the Released Parties or otherwise, arising out of or connected in any way with my participation in the Project or any side projects in connection with the Project. I acknowledge that I have read the foregoing paragraph and know and understand the full contents and effects of it. I hereby grant KABOOM!, City of Rocky Mount, and Blue Cross and Blue Shield of North Carolina full and complete permission to use my name and likeness, including any photographs, videography and interview footage and quotations from me obtained in connection with the Project (whether or not at the Project Build or otherwise) in legitimate promotions of the Project and to further the mission and vision of KABOOM! in any and all media now known or hereinafter developed without restriction or compensation. I understand that I have given up substantial rights by signing this Waiver and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE of all liability of Released Parties to the greatest extent allowed by law

Host or Publisher KABOOM!