• Volunteer Sign-up: Life Skills for Teens

    a Program of ASA Now
  • Sign up to volunteer to assist our youth (ages 13-18) while they participate in our Life Skills for Teens program. 

    Topics covered are: getting a driver’s license, college or post-secondary education plan, getting a job, rent a room or apartment, buy a car, build and maintain a personal budget, paying or planning for taxes when employed, future family planning (I want to be a mom or dad), plan a trip, vacation or experience, health and fitness, mental health and well-being, any personal achievement.

    Volunteers and Mentors will be available to the youth to help, guide and ensure youth interested in a particular topic receive the understanding and help needed to succeed.

    If you would like to be a presenter for a future date, please call us at 623-428-1592 or email us at volunteer@asanow.org.

    BACKGROUND CHECKS ARE REQUIRED FOR ALL VOLUNTEERS AGES 18 AND UP WHO WILL BE VOLUNTEERING AT THIS EVENT. WE CAN ASSIST WITH HELPING YOU OBTAIN ONE. 

    The event is from 10AM TO 1PM  but we ask that all volunteers arrive by 9:30AM.

    If you register to volunteer and then cannot attend, we ask that you call us with as much advance notice as possible at 623-428-1592. We need to ensure that we have enough volunteers for the families who register.

     

    BACKGROUND CHECK:

    Parents place an immense amount of trust in the person or people responsible for caring for their children. It is for that reason that we ask that all participating adults (age 18 and older) have a background check. We can assist you in obtaining a background check. Your cost is $12 and it is valid for two years. Please follow directions below to obtain a background check. If you already have a background check please attach it to this form or email us the copy. 

    If you volunteered at a past event and already received your background clearance you do not need to get clearance again. We have it on record that you have been verified. 

    **If you are volunteering and already have a fingerprint clearance card, please upload it to this form.

    ***If you need to have your background checked, your cost is $12, please log on to Averity at:

    https://opportunities.averity.com/ASANow

    Please note that you will need to provide your full name, social security, date of birth and email. You'll need a credit card to pay on-line. You may skip all other questions such as previous address by simply typing a few letters. You will receive a follow up email from Averity with your background information.

    On behalf of the foster parents, thank you so much for your support!

     

    HEALTH AND WELLNESS:

     This has been a year of adapting, and as you know, we have had to make changes so that we can keep attendees and volunteers safe and comply with local guidelines. If any member of your household has had any symptoms that could potentially be COVID-19 symptoms within the 7 days of the event OR been exposed to someone with COVID-19 or have been tested and are awaiting results, please refrain from attending the event. Masks encouraged but not required.

    Volunteers with symptoms of any contagious illness such as a cough, shortness of breath or difficulty breathing, muscle aches, headache, chills, runny nose, or fever should stay home. Please notify us as soon as possible if you are unable to attend.

     

    * ASA Now is a volunteer driven Arizona Qualifying Foster Care Charitable Organization founded by three foster/adoptive moms from Gilbert. Arizona tax law allows those who donate to a qualifying Foster Care charitable organization to receive a maximum tax credit of $1,000 for joint filers and $500 for single filers. This donation is more than just a deduction. It is a dollar for dollar reduction in what you owe or an increase in your refund.


    EIN #81-2819648 QFCO #10046
    https://azdor.gov/.../files/media/CREDITS_2020_qfco.pdf

    Jacob’s Mission Community Center
    7830 E. University Dr.
    Mesa AZ 85207
    623-428-1592


    HELPING CHILDREN IN FOSTER CARE
    VOLUNTEER - DONATE - SHARE


    ASA Now
    Advocacy
    Support
    Assistance
    To Children, Youth, and Families
    Impacted by
    Foster Care
    asanow.org

    Thank you for your willingness to serve!

    With Gratitude,

    Anika Robinson
    President

    Please take a moment to fill this form out in it's entirety.

    *Be sure to CONSENT, SIGN & hit the SUBMIT button*

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  • Emergency Contact During Event

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  • Volunteer Team Interest

  • Description of Service Opportunities

    We offer many different opportunities to serve. Please select below.

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  • Under 18 Information

  • Under 18 Parental Information

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  • Waiver and Release Form

    * You must be 18 or older to sign this document.
  • PLEASE READ THIS DOCUMENT CAREFULLY; BY SIGNING THIS DOCUMENT, YOU ARE FREELY GIVING UP LEGAL RIGHTS.


    IF A VOLUNTEER IS UNDER THE AGE OF 18, THIS WAIVER MUST BE SIGNED BY THE VOLUNTEER'S PARENT OR LEGAL GUARDIAN. BY SIGNING this document AND CHOOSING TO PARTICIPATE IN THE ACTIVITIES, you agree to its terms and YOU AGREE TO give up legal rights. YOU HAVE THE OPTION TO CHOOSE NOT TO PARTICIPATE IN THE ACTIVITIES OR USE THE PREMISES

     

    PARTICIPANT AGREEMENT, RELEASE, WAIVER, AND ASSUMPTION OF RISK - I understand and agree for myself, my spouse or domestic/civil union partner that I and/or my child or ward will be taking part in the Program, Event and/or Activities offered by ASA Now and/or Jacob's Mission Community Center and I/we do so voluntarily. I, on behalf of myself, spouse, domestic/civil union partner and/or my child/ward, hereby warrants that all participants are in good health and suffers from no physical or mental condition that would create a unreasonable risk of harm to himself or herself, or to any other participant of the Event. I assume all risk and liability involved with my participation or the participation by my spouse, domestic/civil union partner, child/ward in the program, event and related Activities, including but not limited to all risk of physical injury, emotional injury, bodily injury, death, or disability to myself, spouse, domestic/civil union partner and/or my child/ward that may result from participation in the Activities, or any damage, loss, or theft of any personal property which may be incurred by me, spouse, domestic/civil union partner and/or my child/ward. I understand that these Activities include, but are not limited to, the use of the facilities, equipment and the premises. I understand that my participation and related activities (including the Activities as described above) that have inherent risks, which include the risk of minor injuries, serious physical injury, emotional injury, bodily injury, death, and disability, or similar injuries to third parties caused by me, spouse, domestic/civil union partner and/or my child/ward’s participation in the Activities. These risks may result not only from my own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others. Further, there may be other risks not known to me, or not reasonably foreseeable, such as disability or death. By participating or attending this program or event, I assume all the foregoing risks and accept personal responsibility for any damages following any such injury, permanent disability, property damage, or death. This paragraph shall be inclusive of, but not limited to, any injury or death resulting from exposure to food or beverage allergies, communicable diseases, illnesses of any kind, food borne illnesses, theft of or damage to Participants property, transportation or commute, exposure to adverse weather conditions, or choking. 

    Medical Expenses and Consent to Medical Treatment. I understand that ASA Now and Jacob's Mission Community Center does not provide medical coverage to a participant, attendee or volunteer if injured while participating in the event or activity. Any medical costs incurred as a result of this program or activity will be my financial responsibility. Participant hereby accepts full financial responsibility for any personal medical expenses or treatment which may result from participation in the Events, and hereby releases the ASA Now and Jacobs Mission Community Center in full from any potential claim for such medical expenses. Further, Participant hereby authorizes ASA Now and Jacobs Mission Community Center to provide Participant with medical treatment, whether resulting from an emergency or otherwise, and hereby releases ASA Now and Jacobs Mission Community Center from any and actions in tort for the provision of such medical attention. Nothing in this Paragraph shall be construed to create an actual or implied duty upon ASA Now and Jacobs Mission Community Center to provide or seek such medical treatment for Participant.

    I understand these risks and (if applicable) have explained them to my spouse, domestic/civil union partner and/or child/ward. In spite of the above and clearly stated risks, I elect to participate freely and elect to allow my child/ward to participate of my own free will and accord and as such I assume all responsibility for any injury, death or disability that I, spouse, domestic/civil union partner or my child/ward may incur. If Participant is under age of 18 (hereafter referred to using "Minor", I give permission for "Minor" to attend the Program, Event and/or Activities with or without me in attendance, without restriction or limitation. 

    I hereby understands and if applicable agree on behalf of Minor that any legal terms and conditions, limitations, waivers, releases, or similar Event legal requirements (whether posted at the Event, printed on tickets, presented during the ticket purchase process, program or event sign-up or otherwise legally binding on Program or Event attendees) shall be applicable to me and I shall be legally responsible for any violation of any such terms and conditions.

    I hereby release ASA Now, Jacob's Mission Community Center, their agents, employees, personal representatives, volunteers, affiliates, subsidiaries, successors in interest and insurers, suppliers, related companies, advertising and promotion agencies or partners, sponsors, owners or lessors of the Event site, any of their respective officers, directors, employees, representatives, agents, volunteers and contractors (collectively, the “ASA Now”) any and all persons, firms or corporations liable or who might be claimed to be liable, whether or not herein named, from: (a) any and all liability relating to, or that may arise from, my attendance, my spouse or domestic/civil union partner at the Program or Event and/or my decision to allow Minor to attend the Event; and (b) from all liability and obligation to me, my spouse or domestic/civil union partner and/or Minor arising out of or in connection with the exercise of the rights granted herein including, without limitation, from any liability for violation of rights of privacy, publicity, defamation, emotional distress or any similar right. From any and all claims, actions, damages, liabilities, losses, costs, and expenses, including, without limitation, attorney’s fees, in any way arising out of, or resulting from, Participant’s participation in the Events. Participant further acknowledges that ASA Now and Jacob's Mission Community Center is in no way liable for any injury to resulting from Participant’s own conduct or behavior.

    I release, waive, discharge, and covenant not to sue ASA Now, Jacob's Mission Community Center, their board members, officers, agents, employees, personal representatives, affiliates or volunteers from demands, losses, or damages on account of injury, including death, property loss or damage to property, caused or alleged to be caused in whole or in part by the negligence of any person or otherwise, for myself, if any, and our heirs, successors, and assigns.

    In consideration of the opportunity afforded, with full knowledge and acceptance of the risks associated with this event; and with full understanding of the above issues/conditions and risks, I hereby release, indemnify and holds harmless ASA Now and Jacob's Mission Community Center from all form and manner of risks inherent in, and from all claims, suits and demands of any nature arising from participation in said event, or activities.

    You have been fully informed of your consent, waiver of liability, and release before entering, attending, participating in, or volunteering for this event. 

    I understand that this document is intended to be as broad and inclusive as permitted by the laws of the
    state in which the Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.

    Binding Effect. Participant acknowledges that this Agreement shall be binding upon Participant’s heirs and assigns, personal representatives, beneficiaries and next of kin.

     

  • Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

    The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact.

    As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. ASA Now and Jacobs Mission Community Center has put in place preventative measures to reduce the spread of COVID-19; however, we cannot guarantee that you, your spouse, domestic/civil union partner and/or my child/ward you are responsible for will not become infected with COVID-19. Further, attending ASA Now and Jacobs Mission Community Center activities could increase your risk of contracting COVID-19.

    By reading this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and any minor I am responsible for may be exposed to or infected by COVID-19 by attending ASA Now and Jacobs Mission Community Center activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at ASA Now and Jacobs Mission Community Center may result from the actions, omissions, or negligence of myself and others, including, but not limited to, ASA Now and Jacobs Mission Community Centers agents, employees, personal representatives, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself, spouse, domestic/civil union partner and/or my child/ward (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I, my spouse, domestic/civil union partner and/or my child/ward, may experience or incur in connection with myself, my spouse, domestic/civil union partner and/or my child/ward attendance at ASA Now and Jacobs Mission Community Center activities or participation in ASA Now and Jacobs Mission Community Center programming (“Claims”). On my behalf, and on behalf of myself, my spouse, domestic/civil union partner and/or my child/ward, I hereby release, covenant not to sue, discharge, and hold harmless ASA Now and Jacobs Mission Community Center, its agents, employees, personal representatives, volunteers, from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of ASA Now and Jacobs Mission Community Center, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any ASA Now and Jacobs Mission Community Center program, tour or activity.

    Participant acknowledges that he or she has carefully read this Agreement and submits to all of the foregoing provisions. Further, Participant acknowledges that he or she enters into this Agreement under his or her own volition, and that Participant has been afforded the opportunity to review this Agreement with the attorney of his or her own choosing. Participant acknowledges that he or she is giving up substantial rights by agreeing to the provisions of this Agreement. If Participant is under the age of eighteen (18) years old, It is hereby acknowledged that Participant’s parent of legal guardian has read and consented to the terms of this Agreement.

     

  • GRANT OF RIGHT TO USE LIKENESS:
    By attending this program or event, I consents to interview(s), photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by ASA Now or Jacob's Mission Community Center. Images, photos, and/or videos may be used to promote similar ASA Now and Jacob's Mission Community Center events in the future, highlight the event and exhibit the capabilities of ASA Now. I release ASA Now, Jacob's Mission Community Center, its officers and employees , and all persons involved from any liability connected with the taking, recording, digitalizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings. By participating in the event or entering the event premises, I waive all rights I may have to any claims for payment or royalties in connection with any use, exhibition, streaming, web casting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, web casting, or other publication irrespective of whether a fee for admission or sponsorship is charged. I also waive any right to inspect or approve any photo, video, or audio recording taken by ASA Now, Jacob's Mission Community Center or the person or entity designated to do so by ASA Now or Jacob's Mission Community Center. I have been fully informed of my consent, waiver of liability, and release before entering the event.

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