Clothe a Child Volunteer Form

Clothe a Child Volunteer Form

Be part of something special by volunteering to support Clothe a Child recipients and their families during shopping trips. Volunteers must be at least 21 years old.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Alternate Email
example@example.com
Cell Phone*
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Availability and Preferences
Do you have a preference of days and times to go shopping?*

NoYes - use the table below to mark the days and times you're available

Days and times you are available to go shopping.*

What age children are you comfortable shopping with?*

Elementary school (ages 5-10)Middle school (ages 11-13)High school (14-18)No preference
Do you prefer helping*

BoysGirlsNo preference
Any special scheduling comments.
Emergency Contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship*
Is there anything we should know in case of an emergency?
Volunteer Statement - Volunteers must be at least 21 years of age

I understand that The Salvation Army, a religious and charitable organization, requires the assistance of volunteers in the conduct of its various spiritual and social programs. It is my desire to further the work of The Salvation Army by performing services as a volunteer as assigned. I undertake to perform such services as a volunteer without compensation, and in performing such services, I acknowledge that I am NOT acting as an employee of The Salvation Army.
Signature*

Clear
Confidentiality Agreement

In consideration of the sensitive nature of this program, I hereby commit to maintaining the confidentiality of all information concerning the participants of Clothe A Child, unless directed otherwise.
Signature*

Clear
Should be Empty:

Contact Information