Phil's Friends Volunteer Form
Volunteer Form
Email address
Date Attending
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DD
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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.
A copy of your responses will be emailed to the address you provided.
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