Youth Volunteer Application

Youth Volunteer Application

For 6th - 12th grade students. Application must be completed and signed by a parent or guardian is Volunteer is under 18 years of age.
Volunteer Name*

First NameLast Name
Parent/Guardian Name (If volunteer is under the age of 18)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Youth's Email or Guardian's Email*
example@example.com
Contact Phone Number*
Format: (000) 000-0000.
Please select which programs you are interested in volunteering for:*

Summer ArtVentures CampArt After SchoolFamily Arts DayGeneral Museum Education Tasks
Emergency Contacts*
Volunteer's Birthdate*

MonthDayYear
Date
What grade are you currently in?*
School Name*
How did you find this volunteering program?*
Select your available days

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Do you require volunteer hours for school or for an organization?

YesNo
Where else have you volunteered?*
Why do you want to volunteer at AMSET?*
What are your skills?*
ie. Art, Graphic Design, Social Media
Do you need accommodation services in order to perform your duties?*

YesNo
Please enter what type of accommodation services do you need.*
Liability Waiver and Assumption of Risk
I understand that participation in programs, classes, events, or volunteer activities at the Art Museum of Southeast Texas (AMSET) may involve certain risks, including but not limited to physical activity, use of tools and materials, and interaction with others.

On behalf of myself and/or my child, I voluntarily assume all risks associated with participation. I hereby release, waive, and hold harmless the AMSET, its officers, staff, volunteers, board members, and representatives from any and all liability, claims, damages, or causes of action arising out of or related to participation, including injury, illness, or property damage, except in cases of gross negligence or willful misconduct.

In the event of a medical emergency, I authorize the AMSET to obtain emergency medical treatment for the participant if an emergency contact cannot be reached.
Do you agree to the Liability Waiver above?*

YesNo
Photograph and Likeness Release
I grant permission for the Art Museum of Southeast Texas (AMSET) to photograph, video record, and/or capture the volunteer's image, voice, or likeness during programs and activities. I authorize AMSET to use these materials in print and digital formats, including but not limited to social media, websites, educational materials, and promotional publications, without compensation.

I understand these materials may be used indefinitely for educational, archival, and promotional purposes. I understand that I may withdraw consent in writing for future use at any time.
Do you agree to the photo release above?*

YesNo
Does the student/volunteer have any allergies we need to be aware of?*

YesNo
If yes, please list:
Parent or Guardian: In case of an emergency, I authorize the Art Museum of Southeast Texas, its agents, and employees to obtain medical treatment necessary to ensure the health and wellbeing of my child.*

I authorizeI do not authorize
Child's physician:
Hospital Preference:
If you have health insurance, please list the company and policy number:
Parent or Guardian: By typing your full name, you acknowledge that this constitutes as your electronic signature and confirm that the information provided is accurate. You further acknowledge and agree to the selections indicated above regarding medical treatment authorization, photography consent, and liability waiver. *
First and Last Name
Should be Empty: