Food Moxie Volunteer Application
Full Name *
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Address *
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Phone number *
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Email *
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Would you like to be added to Food Moxie's monthly e-newsletter? *
Are you a Weavers Way Working Member? *
What is your Working Member number?
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Birth date *
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Do you have experience working with children/youth? *
Do you have PA clearances necessary in order to work with children? *
What type of volunteering interests you? *
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Any special skills you would like to share?
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Do you fluently speak a language other than English? If so, what?
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When are you generally available to volunteer? Check all that apply. *
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Emergency Contact Name/Relationship to You *
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Emergency Contact Phone Number *
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Please read the following waiver and check YES. If you check NO, you will not able to volunteer with Food Moxie. I agree and understand that participation in Food Moxie (FM) Volunteer programming such as Hope Kitchen, Garden Club, or Family Night is a purely voluntary recreational activity. I agree to participate in a safe and proper manner and listen to all instruction about proper safety techniques. I acknowledge that I am aware of the risks inherent in participating in this program, and knowingly and voluntarily assume the risk of injury for myself or my children from participating in the program. By signing below, I acknowledge that Food Moxie and its directors, staff, volunteers, and contractors a) do not assume any liability for personal injury sustained during their programs, and b) are released from any and all liability. I grant to Food Moxie and their partners all rights, titles, and interests in any and all photographs, images, videos, audio recordings of me or my likeness or voice made by Food Moxie and allow them to post and share them in print, online, on social media, and in other forms of media. I grant these rights in perpetuity. *
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