Volunteer Liability Form

The undersigned has read and understands Hospital Sisters Mission Outreach Assumption of Risk, Waiver, and Release From Liability form (dated July 11, 2016) and realizes it relates to surrendering and releasing valuable legal rights and does so freely and voluntarily. Moreover, the undersigned understands that his or her participation as a volunteer for Mission Outreach, or his or her child’s participation as a volunteer for Mission Outreach is voluntary.

 

Click here if you still need to review the Hospital Sisters Mission Outreach's Assumption of Risk, Waiver and Release From Liability Form: Participant Liability Release Form

Electronic Signature (Type Name)*

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Volunteer Information

Volunteer Group Affiliations
Areas of Volunteer Interest*
  • Any Task Needed
  • Data Entry
  • Driving Assistance
  • Office/Clerical
  • P.R. and Communications
  • Sorting Supplies
  • Special Event Assistance
Do you have any special skills?*
  • CDL
  • Forklift
  • Electrical Knowledge
  • Biomedical
  • Medical
  • None of the above
How did you hear about us?*
  • Employer
  • Fair/Expo
  • Friend
  • Internet
  • News Article
  • None of the above
How often would you like to volunteer?*
  • 2+ times per week
  • as schedule allows
  • monthly
  • once per week
  • semi-weekly
Specific days/times you would like to volunteer*
  • Monday Mornings
  • Monday Afternoons
  • Tuesday Mornings
  • Tuesday Afternoons
  • Tuesday Evening
  • Wednesday Morning
  • Wednesday Afternoon
  • Thursday Morning
  • Thursday Afternoon
  • Thursday Evening
  • Friday Morning
  • Friday Afternoon
  • Saturday Morning
  • Saturday Afternoon
Volunteer Emergency Contact Name*
Volunteer Emergency Contact Phone*
Volunteer Emergency Contact Relation*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.