Volunteer Day Registration

Volunteer Day Registration

You will be contacted when we receive your application. Your registration will be confirmed prior to our event. Upcoming Volunteer Days: September 11, 14, 26; October 31; November 9, 10; and December 19 and 20
Full Name*

First NameLast Name
Please select a level of education:*

I am a middle school studentI am a high school studentI am a college student
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent or Guardian's Name:

First NameLast Name
Parent or Guardian's Phone Number
Parent or Guardian's Email
example@example.com
School/Group/Organization you are associated with:*
Emergency Contact:*

First NameLast Name
Emergency Contact Phone Number:*
Please enter a valid phone number.
Please note:

All volunteer days EXCEPT September 26th and December 19th take place at 1500 Portland Ave, Rochester, NY 14621. Volunteers will meet Colleen Holcomb, Volunteer Services Manager, in the Lobby of St. Ann's Home.

On September 26th and December 19th, Volunteer day will be at 920 Cherry Ridge Blvd., Webster, NY 14580. Volunteers will meet Colleen Holcomb, Volunteer Service Manager, in the Lobby of St. Ann's Care Center.
Select the Volunteer Day(s) you would like to participate in:

February 21st, 10am - 12pmFebruary 21st, 2:30pm - 4:30pmMarch 11th, 3:30pm - 7:30pmApril 5th, 10am - 12pmApril 5th, 1:30pm - 3:30pmApril 20th, 1pm - 4pmMay 29th, 3:30pm - 7:30pmJuly 13th, 1pm - 4pm
Select the Volunteer Day(s) you would like to participate in:*

Wednesday, September 11 - 6pm - 8:30pmSaturday, September 14: 12pm - 2:45pmThursday, September 26: 12:30pm - 4:30pm (Webster)Thursday, October 31: 1pm - 3:30pm (appropriate costumes allowed)FULL, NO SPOTS LEFT Wednesday, November 6Saturday, November 9: 1pm - 3:30pmSunday, November 10: 9:15am - 12pmThursday, December 19: 10am - 12pm (Webster)Friday, December 20: 10am - 12pm
Media & Photo Release

Please read and select one of the following options:

Option 1: I hereby consent to the use of my hpoto, video image, voice and/or name by St. Ann's Community for purposes of marketing and promotion St. Ann's Community.

I understand that this includes any lawful purpose including but not limited to print materials, videos, TV commercials, and posting on St. ann's website and social media sites.

I release from liability St. ann's Community and its affiliates, all of its officers, trustees, employees, and all persons involved therein.

Option 2: I DO NOT consent to St. Ann's Community's use of any of my photos.

Throughout some volunteer events, photos or videos may be taken. Please read through the following consent information and complete the question below.
I have read and understand the above information and I:*

Consent to the use of my photo.DO NOT consent to the use of my photo.
Any special message you need us to know (volunteer preferences, arrival or departure time other than the start or end time, questions you have, etc.)
Should be Empty:

Volunteer Day Registration

Media & Photo Release