2024 Everyone Belongs Volunteer Registration Name(Required) First Last Cell Phone(Required)Email(Required) Home Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gender(Required) Male Female Are you over 18?(Required) Yes No Name of Emergency Contact(Required) Emergency Contact Phone Number(Required)What church do you attend?(Required) All vounteers will need to pass a background check. Are you willing to complete a background check?(Required) Yes No T-shirt Size(Required) Do you have any experience working with those affected with disabilities or special needs?(Required)NoYesPlease elaborate briefly on your experience.(Required) On a scale from 1-5 please rate your level of comfort working with those with disabilities.(Required)This will assist us in assigning volunteer positions.12345Are you able to spend the entire weekend?(Required) Yes No Is there anything else that you would like us to know?(Required) VOLUNTEER RELEASE AND WAIVER OF LIABILITY FORM(Required)I, the above-named volunteer, or the undersigned parent/person having legal custody/guardianship of the volunteer listed above, desire to provide volunteer services for the BCM/D. I agree ACKNOWLEDGMENT AND ASSUMPTION OF RISKS LIABILITY RELEASE AND INDEMNITY AGREEMENT(Required)I, the above-named volunteer, or the undersigned parent/person having legal custody/guardianship of the volunteer listed above, give permission for the participant to participate in all programs/activities. I acknowledge that there are certain risks associated with the activities, including, but not limited to, physical injury due to activity-related accidents, and physical injury due to transportation-related accidents, illness, or even death. I agree PHOTO AND VIDEO CONSENT AND RELEASE(Required)I hereby give the BCM/D permission to take and use photographs and/or video of me and/or my child. I understand these photographs and/or video might be used for a variety of purposes, including print publications, online publications, presentations, websites, social media, television advertising, outreach activities, and news media. I understand that all photos and video footage are the property of the BCMD and I will not be paid for these photographs and/or video footage and have not rights to them. I hereby waive any right to inspect or approve the finished product in which my or my child’s likeness appears. I agree Δ 2024 Everyone Belongs Volunteer Registration Name(Required) First Last Cell Phone(Required)Email(Required) Home Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gender(Required) Male Female Are you over 18?(Required) Yes No Name of Emergency Contact(Required) Emergency Contact Phone Number(Required)What church do you attend?(Required) All vounteers will need to pass a background check. Are you willing to complete a background check?(Required) Yes No T-shirt Size(Required) Do you have any experience working with those affected with disabilities or special needs?(Required)NoYesPlease elaborate briefly on your experience.(Required) On a scale from 1-5 please rate your level of comfort working with those with disabilities.(Required)This will assist us in assigning volunteer positions.12345Are you able to spend the entire weekend?(Required) Yes No Is there anything else that you would like us to know?(Required) VOLUNTEER RELEASE AND WAIVER OF LIABILITY FORM(Required)I, the above-named volunteer, or the undersigned parent/person having legal custody/guardianship of the volunteer listed above, desire to provide volunteer services for the BCM/D. I agree ACKNOWLEDGMENT AND ASSUMPTION OF RISKS LIABILITY RELEASE AND INDEMNITY AGREEMENT(Required)I, the above-named volunteer, or the undersigned parent/person having legal custody/guardianship of the volunteer listed above, give permission for the participant to participate in all programs/activities. I acknowledge that there are certain risks associated with the activities, including, but not limited to, physical injury due to activity-related accidents, and physical injury due to transportation-related accidents, illness, or even death. I agree PHOTO AND VIDEO CONSENT AND RELEASE(Required)I hereby give the BCM/D permission to take and use photographs and/or video of me and/or my child. I understand these photographs and/or video might be used for a variety of purposes, including print publications, online publications, presentations, websites, social media, television advertising, outreach activities, and news media. I understand that all photos and video footage are the property of the BCMD and I will not be paid for these photographs and/or video footage and have not rights to them. I hereby waive any right to inspect or approve the finished product in which my or my child’s likeness appears. I agree Δ
