Volunteer Application Form
I am:
Interested in volunteering
Requesting confirmation for my volunteer hours
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Please select your age group
*
I am 15 years and under
I am 16 years or older
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15 Years Old and Under
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Volunteer Name
*
First Name
Last Name
Volunteer Phone Number (if applicable)
Please enter a valid phone number.
Age
*
What school does the volunteer attend?
*
Teacher's name (if applicable)
Does your child have permission to walk home alone after the program is over?
*
Yes
No
Do you provide permission for your child to be photographed?
*
Yes
No
Does your child have any allergies or medical concerns that would impact participation?
*
Yes
No
If yes, please advise any additional needs your child may have to ensure we are prepared.
Are there any custody orders staff need to be aware of regarding who is allowed to pick up your child? If yes, please advise.
Yes
N/A
If yes, please advise.
Emergency Contact Name
*
Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
STUDENT VOLUNTEER AGREEMENT: I agree to abide by the school district Code of Conduct. I will be respectful, responsible, and safe when assisting the instructor in the program.
Signature of Student Volunteer
*
PARENT/GUARDIAN CONSENT – ACKNOWLEDGMENT OF RISK: I hereby grant permission for my child to participate as a volunteer at the designated school. I acknowledge and accept that participation involves inherent risks, including the possibility of accidents, injuries, or property damage. I release and hold harmless the school, district, and Kids Innovative Ltd from any liability arising from such risks.
Signature of Parent(s)/Guardian(s)
*
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16+ Years Old Volunteer
Volunteer Email
*
example@example.com
Volunteer Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Volunteer Phone Number
*
Please enter a valid phone number.
Age
*
Emergency Contact Name
*
Do you have any allergies or medical concerns?
*
Yes
No
If yes, please advise.
Relationship to Emergency Contact
*
RISK ACKNOWLEDGEMENT: I acknowledge that volunteering involves certain risks. I agree not to hold Kids Innovative Ltd, the school facility, the district, or any related parties liable for any injuries, damages, or losses incurred during my volunteer activities.
Signature of Volunteer
*
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Availability
Which day(s) are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
If you know the school name, please type the school(s) you would like to volunteer at or type N/A:
*
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Requesting Volunteer Hours
Volunteer Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email (Your email or your parent's email)
*
example@example.com
School you volunteered at
*
What is the school you attend
How many hours volunteered (can provide a range)
*
Example: 10 - 15 hours
Please select (multiple available)
I would like..
*
My volunteer hours confirmation letter
Reference(s) contact(s) for future
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Submit Form
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