2022-2023 Book Buddies Volunteer Reenrollment/Background Check
Thank you for taking the time to complete the Reenrollment/Background Check forms for Book Buddies. Please note that the day you will volunteer will be confirmed by the Site Supervisor in mid-August. Please update your contact information for the 2022-2023 school year. Book Buddies begins on August 29!
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Email *
First Name *
Last Name *
Are you planning to return to volunteer? *
If you are not returning, please explain reason and then submit form.
School preference (Program times subject to change.)
Day preference (Site Supervisor will confirm your day in mid-August. Book Buddies begins August 29.)
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Street Address
ZIP Code
Place of Employment
Preferred email address to receive Book Buddies communication
Emergency contact name and phone number
Media Release & Consent
Please answer the questions after reading the following media release.
I give permission for myself to be photographed and/or videotaped by the media and representatives of the Book Buddies Program in conjunction with activities associated with Bartholomew Consolidated School Corporation. I hereby transfer to the Book Buddies Program all copyright and other interests in the photographs and/or videotape taken. I also hereby grant royalty-free permission, including nonexclusive world rights in all languages, to reproduce in all formats including but not limited to print and electronic, to reproduce and include my likeness for promotional purposes of the Book Buddies Program.
Please type your name acknowledging you read the media release and consent form.
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