Phil's Friends Volunteer Form
Volunteer Form
Email address *
Date Attending *
MM
/
DD
/
YYYY
Group Name
Your answer
First Name *
Your answer
Last Name *
Your answer
Street Address 1 *
Your answer
Street Address 2
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone Number *
Your answer
Can Contact *
Legal Guardian (If Under Age 18)
Your answer
Release of Activity Liability and Confidentiality Statement
By submitting this form I, the undersigned, acknowledge that care will be taken to avoid problems or accidents, however I hereby release Phil's Friends from the responsibility of any liability involving injury or accident while participating at Phil's Friends. I also understand that there is a possibility of being photographed and give Phil's Friends rights to the photos. I hereby release Phil's Friends from the accident or injury causing circumstances and will accept full responsibility for my actions. I also acknowledge that while working with patient names, addresses, and other information, I will keep all information confidential.
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