• Carrie's TOUCH 20th Anniversary Volunteer Opportunity

    Thanks so much for being here! Please complete this form to volunteer for our production of "Dinner with the Youngers."
  •  -
  • Are you over 18?*

  • EMERGENCY CONTACT

  •  -

  • SURVIVOR INFORMATION

    NOT a survivor? Totally okay! Skip this section. TO OUR SURVIVORS: we ask these questions for possible peer navigation pairing and support. It helps Carrie's TOUCH better assess the requests of our survivors. These questions are optional, and we appreciate any information you chose to share.
  • ARE YOU A BREAST CANCER SURVIVOR?
  • Please click all that apply.

  • VOLUNTEER INFO

  • DO YOU LIVE IN SACRAMENTO? *
  • DO YOU LIVE IN CALIFORNIA? *
  • Please tell us your average availability.*

  • Please let us know to the best of your ability, where you could best serve Carrie's TOUCH. Please read all of our Tribes before making a decision. We look forward to you join our TRIBE!

  • Reception 

    Assist with a 1-hour reception prior to Friday's show, and a 2-hour reception following Sunday's show. Assist with guest registration, food or beverage stations, light set up/tear down, floater, ushers, guest support, and merchandise table.

  • Front of House

    Assist before, during, and after each show. Assist with guest registration, the CT resource table, greeting & ushering, distributing items, concessions, the merchandise table, stage or backstage support, guest support, set up/tear down.

  • Graphics or Marketing

    Assist in the marketing efforts for the production. Assist with graphics, engagement, connections, etc.

  • PLEASE CHOOSE A TRIBE THAT BEST SUITS YOUR INTERESTS, PASSION AND SKILLS! (Select all areas of interest.)*
  • Which days can you commit to volunteering during the event? (This commitment includes additional volunteer meetings leading up to the event dates.)*
  • 0/50

  • HIPAA CONFIDENTIALITY AGREEMENT

    As a volunteer of Carrie’s TOUCH, you may have access to confidential information, both written and oral, in the course of your responsibilities.  It is imperative that this information is not disclosed to any unauthorized individuals to maintain the integrity of those we serve and their privileged, private, and/or medical information.  An unauthorized individual would be any person that is not currently an employee, volunteer, and/or any information.  Any other disclosures may only occur at the direction of Carrie’s TOUCH co-founder and CEO TAMMIE DENYSE or by patient authorization. 


    I have read and understand Carrie's TOUCH’s policies with regards to privacy and Security of personal health information.  I agree to maintain confidentiality of all information obtained in the course of my volunteerism including, but not limited to, financial, technical, or propriety information of the organization and personal and sensitive information regarding patients, employees, and vendors.  I understand that inappropriate disclosure or release of patient information is grounds for release from duties and possible legal penalties under California State law.

  • I AGREE TO THE ABOVE HIPAA CONFIDENTIALITY AGREEMENT.*

  • MEDIA RELEASE

    Images, video, and audio recordings of myself taken or recorded by CARRIE'S TOUCH can be used in print, broadcasting or other forms of marketing and advertising: brochures, newsletters, reports, publications, online, CARRIE'S TOUCH website, Twitter, Facebook, Instagram, and YouTube. Additionally, audiovisual presentations and other activities to promote the entity CARRIE'S TOUCH and inform the public about the non-profit and its work. 


    These photos, video, or other images or recordings may be used by CARRIE'S TOUCH without payment of fees, royalties, or other remuneration. 


    CARRIE'S TOUCH agrees images will never be used in a derogatory manner nor to defame the character or personage of the signee. 

  • I AGREE TO THE ABOVE MEDIA RELEASE.*
  • I authorize that I am over the age of 18.*
  • Should be Empty: