Guardian Permission Form
Must be over age 18 to fill out this form. Note: Children under 15 must have a parent or guardian stay with them to volunteer.
Guardian Name
*
First Name
Last Name
Volunteer Full Name
*
First Name
Last Name
Volunteer Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Volunteer Age
*
Relationship to volunteer
Parent
Legal Guardian
Other
Guardian Email
*
example@example.com
Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact/s - Include Name and phone number
*
I give permission for my child named above to participate as a volunteer with DMV Do Good Crew. I understand that participation may include a variety of activities such as community clean-ups, outreach events, sorting donations, or similar tasks under adult supervision.
I acknowledge that I have been informed of the nature of volunteer activities and understand that while all efforts will be made to ensure safety, some activities may involve risks. I release and hold harmless Do Good Crew and its members from liability in case of accident or injury.
I authorize DMV Do Good Crew to take and use photos/videos of my child for social media and promotional purposes
I DO NOT authorize photos/videos of my child.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Continue
Continue
Should be Empty: