GleanKY Volunteer Application
We're glad you're here! Let us know who you are and how you’d like to help
Name *
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Address *
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City/State *
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County *
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Email *
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Phone *
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Birthday *
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Preferred T-shirt Size *
Preferred Contact Method *
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Email Address *
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Volunteer Interests *
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Day Availability *
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Are You Available Between 9am and 5pm? *
What Vehicle Will You Use to Transport Food? *
Are You Part of a Group (Church, Community, Other) That We Can Talk to About Gleaning?
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Any Other Comments
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Please Type Your Name Below to Agree to the Following Liability Waiver, Certification & Photo Release *
Safety is of paramount importance when gleaning. For the protection of all, each participant is required to sign the Liability Waiver, Certification & Photo Release Form. Gleaning may involve significant physical activity, including walking, climbing, lifting, carrying and other strenuous activities. Individuals should not participate unless they are medically able. I certify to Property Owner ("Owner") and Faith Feeds of Kentucky, Inc. [d/b/a GleanKY] that I am medically fit to participate in gleaning activities. I agree to assume all risks from participation in gleaning. In exchange for the opportunity to glean food for the hungry, I hereby waive and release Owner and Faith Feeds of Kentucky, Inc., its Board of Directors, officers, volunteers or employees from any and all liability for any injury, bodily harm, accident, death or other claim of whatever kind to myself/my child arising out of my participation in gleaning activities. I grant GleanKY, its representatives and employees, the right to take photographs of me and my property in connection with GleanKY activities. I authorize GleanKY, its assigns and transferees to copyright, use, and publish the photographs in print and/or electronically. I agree that GleanKY may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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For Parents/Guardians of Minors
If you are the parent/guardian of any gleaning volunteers under the age of 18, please list their names below, thereby signing the above Liability Waiver, Certification & Photo Release on their behalf.
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