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Volunteer Crossing Guard Application -or- UPDATE information
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School District *
Application type (pick one): *
First Name *
Last Name *
Fresno Unified School Site
Parlier Unified Site
If you selected "Other" in the question above, what is your school site?
Are you a school site staff member? *
If yes, please choose a position.
Safety Vest Size *
Email address: *
Address *
Apt#
City *
Zip Code *
Phone Number *
Date of Birth *
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Are you a student between grades 6-12th? *
If yes, what is your grade?
Clear selection
If yes, what school do you attend?
Emergency Contact Person *
Emergency Contact Phone *
Do you have any health issues or limitations that will keep you from performing specific activities as a crossing guard? *
If "yes," please list health conditions below
I understand this is a volunteer position through Safe 2 School, Inc. I understand this is not a paying job. I will not receive a W-2 or any other tax forms related to this volunteer position. Safe 2 School, Inc. is not responsible for the safety of volunteers during their service. I agree to waive all potential claims against Safe 2 School, Inc. and hold Safe 2 School, Inc. harmless from any and all liability claims, demands, or volunteer service. I also agree to release and provide a defense for Safe 2 School, Inc. from any liability claims, demands and causes of action, of whatever kind of nature. *
Required
Signature
By typing my name I am authorizing this as my signature
Signature *
Today's date *
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Submit
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