Event Volunteer Application - Child Family Center

Thank you for your interest in being an event volunteer for Child & Family Center!

Please read the Volunteer Agreement below and then complete the application at the bottom of the page. When done, please press the “SEND” button.

I understand and acknowledge that my time and services as a volunteer are being donated by me to Child & Family Center (herein referred to as “C&FC”), without contemplation of compensation, benefits, or future employment, and that I provide these services for charitable or humanitarian reasons.

I give permission to C&FC to use my photographs as they see fit in online and print media. I understand photographs belong to Child & Family Center.

I understand that as a volunteer I will earn no wages or benefits in connection with the volunteer services I wish to provide, and that I will not seek any such wages or benefits. I further understand that I will not be entitled to unemployment insurance benefits upon the discontinuance of my volunteer services (regardless of whether such discontinuance is initiated by me or by C&FC), nor will I be covered under C&FC’s workers’ compensation insurance in the event I am injured while engaging in the volunteer services I will provide.

I understand that in the course of my volunteer services, I may be provided with access to, or come to be in possession of, confidential, non-public information concerning employees, volunteers, or other individuals, as well as confidential information concerning related activities. I agree that I will honor the confidential nature of any such information, and will not disclose directly or indirectly to any person or entity outside the Agency, without express written authorization.

I hereby waive, release, and hold harmless from any liability or claims for damages for personal injury, including death, as well as from claims or property damage which may arise in connection with the events and/or projects, the location of the project and/or event location, by C&FC and their elected and appointed officials, agents, and employees.

Child & Family Center Event Volunteer Application

Name(Required)

First Last

Name of Group/Organization you are participating with, if applicable

Best Phone Contact Number(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Email Address(Required)

Email Address Confirm Email Address

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Is there a specific event you are interested in volunteering for? If so, please indicate that here.

While we can’t guarantee there is an opening for a volunteer for that event, we will do our best to match you with the event(s) you are interested in.

I agree to the terms of the Event Volunteer Waiver/Agreement set form in this agreement.(Required)

Agree

Signature(Required)

Please use your mouse or finger to sign your name in the box below.

Today's Date(Required)

Is Participant is a minor child, under the age of 18?(Required)

Yes

If Participant is a minor child, under the age of 18, then the undersigned hereby states that they are the parent or legal guardian of the minor child and, as such, has the authority to and hereby does sign this Release and Waiver of Liability on behalf of the minor child.

Parent/Authorized Representative Name(Required)

Parent/Authorized Representative Signature(Required)

Please use your mouse or finger to sign your name in the box below.

Today's Date(Required)

A representative from the Center will contact you within five (5) business days.

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