2021 DETROIT GRAND PRIX ASSOCIATION Renewal Membership Application Do not send payment without completed application. All DGPA members must be at least 18 yrs of age or 16 yrs old if accompanied by adult relative. All DGPA Members will be required to wear masks onsite and will be asked to abide by all COVID protocols set by the CDGP. Name: __________________________ ______________________________ ___________ Last Name First Name Middle Initial Address: ________________________________________________________________________________ Street (Include Apt. # or P.O. Box) ________________________________________ _____________ ___________ City State Zip Code Phone: ( ) ( ) Home Cell The primary communication medium used by the Detroit Grand Prix Association (Newsletters, Job Assignments, communications with your manager, etc.) will be e-mail. Therefore, each member is required to provide an e-mail address as part of this application. (Please be sure to notify the DGPA of any changes to your e-mail address by sending a note to [email protected].) E-Mail Address: ________________________________________________ T-shirt Size (circle one): S M L XL XXL 3XL 4XL Birth Date: ________________________(Must be at least 18 years old by June 11, 2021 or 16 if accompanied by adult relative) Month/Date/Year Birth Location (City, State/Providence, Country): _____________________ To which area were you assigned in 2019/2020? _______________________________________ If there are one or more DGPA members you wish to be assigned with, please list their names: (Assignments with friends cannot be guaranteed; however, every attempt will be made to fulfill such requests) ___________________________________________________________________________ I am interested in joining a committee (Management Training, Orientation, Promotions, Recruitment, Social, etc.) _____________________________________________________________________________________________ Dietary Restrictions (We will do our best to accommodate requests but cannot make any promises at this time) IN CASE OF EMERGENCY, PLEASE NOTIFY: __________________________________________________ Name Relation to you: _____________________________________ Phone (Daytime): ______________________ Phone (Evening): ______________________ Do you have any physical limitations (e.g. prescription medicine side effects, can't stand for long periods, etc.) that may influence your volunteer assignment? No Yes If yes, please describe: ***PLEASE BE CERTAIN THAT THIS PAGE OF THE APPLICATION IS COMPLETE*** 1 Each DGPA volunteer is required to fufill orientation requirement Details regarding our online orientation program will be sent to DGPA members at a later date. DGPA members will be required to attend ONE Virtual session: Saturday, May 22, 2021 10:00am-12:00pm Wednesday, May 26, 2021 6:30pm-8:30pm The following RELEASE must be signed to complete this application: In consideration of being permitted to participate in the 2021 Chevrolet Detroit Grand Prix presented by Lear, and in full voluntary recognition and assumption of the risk and hazard associated with my participation in the 2021 Chevrolet Detroit Grand Prix presented by Lear, I (please print your full name),___________________________________ for myself, my heirs and representatives of (please print your complete address) ___________________________________________________________________________ hereby release the State of Michigan, City of Detroit, Downtown Detroit Partnership and Chevrolet Detroit Grand Prix presented by Lear, Inc., their respective officers, directors, employees, and any of the contractors, sponsors or contributors and the Detroit Grand Prix Association, its officers, directors, boards and committees from any and all claims, damages and actions arising from death, injury, illness or damage incurred or suffered by me or any other person or damage to my property or the property of any other person as a result of my participation in the Chevrolet Detroit Grand Prix presented by Lear and incidental activities including pre-race and post- race activities, without regard to whether such claims, damages or actions result of negligence of the party released hereunder. I recognize that I am not an employee of the State of Michigan and the City of Detroit, Downtown Detroit Partnership, Chevrolet Detroit Grand Prix presented by Lear Inc. or Detroit Grand Prix Association, and that I am not entitled to any employment benefits as a result of my volunteering my services. In connection with my participation as a member/volunteer of the DGPA and DBIGP, I hereby grant INDYCAR, IMSA and any other applicable sanctioning bodies or series, DBIGP, DGPA and their respective designees the right to use my image and/or likeness in any live or recorded video display or other transmission or reproduction of their events, including without limitation my rights of publicity. All rights to broadcast, record, photograph, repeat, reproduce or recreate the events are reserved by INDYCAR, IMSA, any other applicable sanctioning body, DBIGP and DGPA. Signature of Applicant:_____________________________________ Date:___________________ ***PLEASE BE CERTAIN THAT THIS PAGE OF THE APPLICATION IS COMPLETE*** 2 ASSIGNMENT PREFERENCES The Detroit Grand Prix Association, in connection with the Chevrolet Detroit Grand Prix presented by Lear/Downtown Detroit Partnership, necessarily reserves the right to assign each member of the race as needed, or to change any assignment as the need arises. The DGPA will make every effort, but cannot guarantee, that area assignments, or teammates will be as requested. Jobs will be assigned according to the order applications are received. Register early! Please read the DGPA Area Job Descriptions that accompany this application carefully before indicating your assignment area preferences. Pay particular attention to the time commitments required as it varies by assignment area. Whatever area you are assigned to, you will be expected to fulfill the hours specified in each job description. If you are planning to change your assignment, Be sure to READ JOB DESCRIPTIONS, PHYSICAL DEMANDS AND SHIFT TIMES CAREFULLY. Indicate your assignment preferences by using the numbers 1 through 3. ("1" indicating first choice, "2" indicating second choice, etc.) Once you have chosen your top 3 assignment preferences, please indicate your preferred shift times with an "X" in the appropriate box. Please note, you may work All Day if you so desire. PLEASE READ JOB DESCRIPTIONS AND SHIFT TIMES CAREFULLY. ALL SHIFT TIMES SHOWN ARE APPROXIMATE Please note, you may work All Day if you so desire. ____ Accessibility Ambassadors June 11-13, 2021 You must work at least one shift each day, Friday - Sunday, June 11-13, 2021 Friday, Saturday and Sunday All Day - 8:00am - 7:30pm Shift 1 - 8:00am - 2:30pm Shift 2 - 1:00pm - 7:30pm NOTE: FRIDAY AND SATURDAY HOURS WILL BE REDUCED ____ Chalet Services June 11-13, 2021 You must work at least one shift each day, Friday - Sunday, June 11-13, 2021 Pre-race hours are available for those who wish to volunteer in addition to the minimum shift requirement. Friday, Saturday and Sunday All Day - 8:00am - 6:00pm Shift 1 - 8:00am - 1:00pm Shift 2 - 1:00pm - 6:00pm Pre-Race Yes, I am willing to volunteer beyond required shift minimum. ____ Circuit Marshals June 11- 13,2021 You must work at least one shift each day, Friday- Sunday, June 11-13,2021. Friday, Saturday and Sunday All Day - 7:00am - 5:30pm Shift 1 - 7:00am - 1:00pm Shift 2 - 12:00pm - 5:30pm ____ Credentials May 1 - June 15, 2021 - Minimum of 25 hours Pre-Race work- Will be asked to provide aschedule of availbiliy to Area Manager ____ Customer Relations June 11 - 13, 2021 You must choose at least 1 shift each day, Friday - Sunday. Friday, Saturday and Sunday All Day- 8:00am-6:00pm Shift 1 - 8:00am - 2:00pm Shift 2 -12:00pm - 6:00pm ____ Event Ceremonies June 11-13, 2021 *Must Commit to All 3 Days Friday, Saturday and Sunday All Day - 7:00am - 7:00pm ____ Food Services June 11-13, 2021 Must commit to all 3 Days Friday, Saturday and Sunday All Day - 8:00am - 5:00pm ____ Grand Prix Office April - June 15, 2021 - Pre- Race, race weekend needs upon requests Will be asked to provide schedule of availability to Area Manager ***PLEASE BE CERTAIN THAT THIS PAGE OF THE APPLICATION IS COMPLETE*** 3 PLEASE READ JOB DESCRIPTIONS AND SHIFT TIMES CAREFULLY. ALL SHIFT TIMES ARE APPROXIMATE Please note, you may work All Day if you so desire. ____ Hospitality Shuttle Service June 11-13, 2021 You must work at least one shift each day,Friday-Sunday, June 11-13,2021 Pre-race hours are available for those who wish to volunteer in addition to the minimum shift requirement Friday, Saturday and Sunday All Day- 8:00am-7:30pm Shift 1 - 7:30am - 2:00pm Shift 2 - 1:00pm - 7:30pm Driver's License #: ______________________________________________ State/Providence: __________________________ ____ Information June 11-13,2021 You must work at least one shift each day, Friday- Sunday, June 11-13, 2021 Please choose shift for all 3 days Friday- Shift 1- 7:30- 12:00pm & Shift 2- 12:00pm-4:30pm Shift 1 Saturday- Shift 1- 7:00am- 1:00pm & Shift 2 1:00-7:00pm Sunday- 7:00am- 11:00am & Shift 2- 11:00- 3:00pm Shift 2 ____ Media Center June 11-13, 2021 Mark your preferred days and shift. We will try to honor everyone's selections, however your actual schedule may be different. You will receive the final schedule approximately two weeks before race. Thursday June 10 - All Day- 9:30am - 4:00pm Friday June 11 Shift 1- 6:30am-