Triad Tech Savvy Volunteer Form
Tech Savvy will be held in Sullivan Building in UNCG
on Saturday April 1, 2017

Thank you for your interest in Triad Tech Savvy. All Volunteers must complete this form and report to Room 103 Sullivan Building, corner of McIver Street and Carr Street, on the UNCG campus. Free parking is available in the McIver Garage.

Email address *
Your First Name: *
Your answer
Your Last Name *
Your answer
I would like to volunteer for Triad Tech Savvy. *
I am willing to help in the following area(s): *check all that apply
If volunteering for specific presenter, enter which session/speaker below: (leave blank otherwise)
Your answer
My mailing Address (including City, State and Zip): *
Your answer
My Preferred Phone Contact (include area code): *
Your answer
Emergency Contact: Name, Address and Phone
Your answer
Emergency contact relationship to volunteer
Your answer
Adult T-Shirt Size:
Please list any special dietary needs/allergies here:
Your answer
Consent Signature
I agree to participate as a volunteer at Tech Savvy on April 1, 2017 I agree to ensure a safe and structured learning environment for all girls involved and encourage girls to be excited about STEM and confident in their ability to learn.

I hold harmless AAUW, Inc. and AAUW GREENSBORO and Tech Savvy, including their respective past, present and future officers, directors, employees, volunteers, agents, and representatives against any and all liabilities, injuries, losses, costs, damages, attorney’s fees, and expenses which I may sustain or incur as a result of participation in the Tech Savvy program.

Responsibility for Personal Property Release

I will not hold AAUW GREENSBORO or UNCG or Tech Savvy sponsors responsible for items lost or stolen during Tech Savvy. This includes, but is not limited to: radios, iPods, iPads, tablets, cell phones and other articles of value brought to Tech Savvy.

Photograph/Video Release

I understand that photographs may be taken or videotaping may be done during Tech Savvy. This may be done as a group or individual photos, or as a part of a media story, and may appear in news stories or reports on the event. I give permission for photographs or videos I appear in that are made at Tech Savvy to be used in future advertising on websites or print materials. I grant to AAUW, it’s officers, agents, employees, assigns and licensees (“AAUW”), permission to use photographs, audio and/or video recordings of me, along with my name (first and last initial), in AAUW and its state or branch publication, on AAUW social media sites, on the AAUW website, or any other use AAUW deems appropriate. I hereby waive any right to inspect or to approve audio, video or print materials that may be used in conjunction with these efforts.

Signature (enter your full name to consent): *
Your answer
Today's Date: *
How did you hear about Tech Savvy?
Thank you for completing this form.
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