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PARENT VOLUNTEERS NEEDED FOR SCREENS FOR TEENS AT ELK GROVE HIGH SCHOOL
TESTING WILL BE ON WEDNESDAY, APRIL 4, 2018 at ELK GROVE HIGH SCHOOL.

Parent training takes place on Tuesday, April 3rd from 5:30 - 7:00 pm. Attendance at training is mandatory, however, several administrative positions are available for both shifts where training is not required. We need approximately 75 parents/adults who can volunteer to work the early shift, the later shift, or all day.

If you have any questions, please contact Kathy Aykroid at 847-736-8140 or Kathy@maxschewitzfoundation.org.

I would love to help! I have marked my calendar to attend training on: Tuesday, April 3rd from 5:30 - 7:00 pm at Elk Grove High School. *
AND to volunteer for the following shift(s): *
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Name: *
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Mailing Street Address: *
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Mailing City: *
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Cell phone number: *
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Email: (All correspondence will be sent via email) *
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Any special skills? EMT, RN, MD
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CONFIDENTIALITY STATEMENT ~ MAX SCHEWITZ FOUNDATION SCREENS FOR TEENS CARDIAC SCREENING *
We assure the students and parents participating in the Max Schewitz Foundation Screens for Teens Cardiac screening protocol of their right to privacy of person and records according to the laws of confidentiality. We recognize that as providers of services and processors of medical patient records, we have a committment, an obligation, and a responsibility to protect their privacy of all information that we receive in the process. I understand that the performance of my volunteer work may directly, or indirectly, result in my gaining knowledge of confidential patient or organizational information. All medical, personal, or organization information, whether written, computerized, oral, or tangible in any other way is deemed confidential and will be treated as such. All users given access to information regarding participants in the Max Schewitz Foundation Screens for Teens Cardiac program will keep confidential all information made available to them regarding medical, demographic, and organizational data. I have read the position on confidentiality and security of participant information and I understand any violation, whether intentional or unintentional, may result in my immediate removal from the program.
I grant permission to use any photographs, recordings or any other record of this event for any legitimate purpose of the Max Schewitz Foundation. We will ask your permission again just before we allow permit photos. *
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