CITY HOPE VOLUNTEER WAIVER FORM

VOLUNTEER WAIVER

& RELEASE OF LIABILITY
CITY HOPE SF
First Name*
Last Name*
Personal Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
***If Volunteer is under the age of 18***
Parent or Legal Guardian Name (if volunteer is under the age of 18)
Parent or Legal Guardian Email (if volunteer is under the age of 18)
example@example.com
Emergency Contact
Name
Relationship to Volunteer
Phone Number*
*Signature of Volunteer OR Parent/Legal Guardian if Volunteer is Under 18*

Clear
Date*

MonthDayYear
Date
Read and check one!*

I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.I am the parent or legal guardian of the Volunteer. I am of legal age and am freely signing this agreement. I have read this form and understand that by signing this form, I am giving up legal rights and remedies.
Should be Empty:

VOLUNTEER WAIVER