Ekam USA Junior Volunteer form (up to 13 years)
Please fill the form with the junior volunteer and parent details. At least one parent participation is mandatory.
First Name (Junior Ambassador) *
Your answer
Last Name (Junior Ambassador) *
Your answer
Age *
Your answer
Grade *
Your answer
Email (Junior Volunteer) - if available
Your answer
Phone Number (Junior Volunteer) - if available (111-111-1111)
Your answer
First Name (Parent that will be involved in the program) *
Your answer
Last Name (Parent) *
Your answer
Phone Number of Parent (111-111-1111) *
Your answer
Email (Parent) *
Your answer
City *
Your answer
State *
Select a Chapter *
WAIVER: In consideration of Ekam USA allowing me/my child/my organization/my family to participate in volunteering opportunities and being aware of the possible injuries or harm that could occur as a result of this participation, I, on behalf of myself, my child, my organization, my family, release Ekam USA, its employees, agents, instructors, from any and all injuries and damages whatsoever arising from participation in events
Waiver *
Required
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