2026 Service Ambassador Registration

Student Name

Birth Date

MonthDayYear

Grade

School

How did you learn about our Service Ambassador Program?

I already have asked begin accumulating service hours.

How many service hours have you accumulated so far?

Non-pgcps email

example@example.com

Gender

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Parent Guardian Name

Relationship to Student

Parent Phone Number

Format: (000) 000-0000.

Have you joined our group chat app SimpleTexting?

Parent E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the student aware of their medical condition?

Is the student prescribed an inhaler? If yes, please explain any instructions.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in service learning activities and education prepared by The Metamorphosis Community Project. Inc. throughout the 2025/2026 school year. In exchange for the acceptance of said child’s candidacy by Metamorphosis, I assume all risk and hazards incidental to the service activities, and release, absolve and hold harmless Metamorphosis and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected service sessions.

In case of injury to said child, I hereby waive all claims against Metamorphosis including all staff and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

Parent initial here to acknowledge reading and understanding consent and acknowledgement above.

Medical Release and Authorization

As Parent and/or Guardian of the named student, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the {Metamorphosis} and its affiliates including Directors, Staff, and Program Volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Parent Initial here to acknowledge medical release and authorization.

Program Expectations

Timeiness: Arrive twenty (20) minutes earlier than event begin time. Ensuire pick-up time of no more than thirty (30) minutes after event end time.
Follow Directions: Listen carefully, ask questions (as necessary) and complete tasks as instructed.
Appropriate Dress:. Closed toe and heel shoes. No inappropriate, vulger or controversial words, messages or images on clothing when serving with Metamorphosis. Metamorphosis will provide t-shirt to our participants after participation at three (3) events.

Student Initial if you agree to embrace our Participant Expectations.

Program Values

Respect - Treat all people with dignity and the way you WANT to be treated.
Responsibility - Arrive prepared and on time.
Integrity - Be honest about your hours, your effort and your conduct.
Safety - Follow all guidelines to keep yourself and others safe.
Growth - Learn, reflect, and keep improving (evaluating yourself, our community, our world).

Student Initial if you agree to embody our Program Values

Program Service Etiquette

Greet individuals (peers, their parents, community members, staff and supervisors.
As questions if you don't understand instructions.
Work with a positive attiude - every task regardless of how small servea greater purpose.
Handle any disagreements calmly and ask for help from staff when necessary.
Represent Metamorphosis with pride at all times.

Student Initial to commit to upholding our Program's Service Etiquette

Program Technology Etiquette

Phones & Devices: Phones should be silenced and put away during service. Use only with supervisor permission.
Social Media: Do not post pictures of community members, clients, or other volunteers without permission. If sharing Metamorphosis events online, use respectful language and positive representation.
Technology for Service: Use digital check-in tools (QR codes, scanning apps) responsibly. Never attempt to falsify or alter service records.
Cyber Conduct: Treat others online with the same respect as in person. No cyberbullying, gossip, or inappropriate messages related to service activities.

Student Initial to indicate their commitment to abide by the technology etiquette above.

Program Romantic Relationship Etiquette

Boundaries: Metamorphosis service spaces are professional and community-focused. Romantic behavior (hugging, kissing, holding hands) is not appropriate during service activities for opposite or same gender. High fives, dapping and "pounds" are appropriate.
Respect for Others: Do not pressure or pursue other volunteers, supervisors, or community members in a way that makes them uncomfortable.
Focus on Service: Time during service should be dedicated to helping the community, not building or displaying romantic relationships.
Professionalism: Remember that you represent Metamorphosis at all times. Conduct that distracts from service or makes others feel unsafe may result in removal from the program.

Student Initial to abide by the Program's Romantic Relationship Etiquette while serving with Metamorphosis.

Program Correctional Approach

Intraction of the standards above will usually result in the following process. Metamorphosis reserves the right to expedite the process at our discretion. Usually, however, the following actions will be employed.

Verbal Warning by a staff member.
Verbal Warning by Director.
Written Warning.
Suspesion/Removal - for repeated or serious violations.

Parents will be included in each step of the process.

Student Initial to acknowledge having read and understood the correctional approach above.

Parent Initial to acknowledge having read and understood the correctional approach above.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. By so doing, I give my child permission to participate in the Metamorphosis Service Ambassador Program.

Date

Signature

Student Commitment

By signing below, I am repeating my commitment to be a part of the Metamorphosis Service Ambassador Program.

Date

Signature

Service Ambassador Registration

Student Information