Miracle League of Western MA Volunteer Registration- SPRING 2024
Thank you for your interest in volunteering with the Miracle League of Western MA.  We appreciate your commitment to our program.
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Email *
First Name *
Last Name *
Phone Number *
FULL Mailing Address *
Email Address *
I am interested in volunteering as a: *
Required
I am comfortable working with, and physically able to assist, a child in a wheelchair. *
T-Shirt Size *
WAIVER: I hereby grant the Miracle League of Western Massachusetts, Inc. its affiliates, franchises, advertising and promotional agencies, and their agents, the irrevocable, unrestricted right to use, publish, display and distribute materials bearing my name, voice, likeness or any other identifiable representation of myself, my family members including my Miracle League player/child. These materials may appear in any form, style color or medium whatsoever (including, without limitation, photographs, video tapes, films sound recordings, software, drawings, prints, broadcast, internet and electronic media.)  I agree that all material containing any identifiable representation of me (including without limitation, all negatives, plates and masters of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of the Miracle League of Western Massachusetts, Inc. I hereby release and forever discharge the Miracle League of Western Massachusetts, Inc. from any and all liability and damages relating to the use of my name, voice, likeness or any other identifiable representation of me.  I hereby waive any right I may have to inspect or approve the finished materials or any part or element there of that incorporates my name, voice, likeness or any other identifiable representation of myself, my family including my Miracle League of Western Massachusetts, Inc. player.I have agreed to the above in consideration of the opportunity given to me by The Miracle League of Western MA, Inc. to appear in these materials.  I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction. I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian. *
Anyone over the age of 18 MUST have a CORI done by our organization. If you have had another CORI check done for other purposes you will still need one done by the Miracle League of Western MA. We can not accept results from other agencies.   We will provide you with the necessary form to sign in order for  your CORI to be processed. *
By submitting this form I attest the above information to be true and accurate. *
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