Volunteer Sign In
please fill out this form when you arrive to volunteer at Emmy's Academy.
I certify that all the information I have provided is true and I have never been charged or convicted with felony offense such as child abuse or neglect, child pornography, child abduction, kidnapping, rape or any other offense. I understand that Emmy's Academy, Inc. is not responsible for any injuries or damage to me and/or my personal property that may result from my voluntary involvement in their activities. I hereby discharge Emmy's Academy, its directors, agents, and other volunteers from all claims, demands, and actions from such activities. I grant Emmy's Academy permission to use any photographs, video or quotations from me during my involvement with Emmy's Academy to be used to further promote Emmy's Academy, Inc. Furthermore, I realize that any sensitive family information that I become aware of during my voluntary participation is confidential and should not be discussed outside the bounds of Emmy's Academy, Inc. Finally I understand that I am an 'at will' volunteer and can be terminated at any time. Electronic Signature follows: *
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Emmy's Academy Event Name *
Your Name (first and last) *
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Cell Phone # *
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Email Address *
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School Group/Volunteer Website/Company/etc *
Your answer
How did you hear about Corrigan Care? *
Your answer
Emergency Contact Name *
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Emergency Contact Phone *
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