Youth Up All Night Experience - Volunteer Registration

Youth Up All Night Experience - Volunteer Registration

Hosted by Mary Lou's Heart Foundation, M.A.D., and Life After Release Website: www.marylousheart.com Email: info@marylousheart.com Thank you for volunteering to serve at the Youth Up All Night Experience on June 12, 8 PM - 8 AM! Venue: Creative Suitland, 4719 Silver Hill Rd, Suitland, MD Day-of event contact: (301) 798-7933 This is an overnight event. Volunteers must be 21 years of age or older and able to commit to their scheduled shift. Please complete all sections and sign the waivers below.
Volunteer Information
First Name
Last Name
Date of Birth

MonthDayYear
Date
Age
Gender
Email Address
example@example.com
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
T-Shirt Size
Occupation/Profession
Affiliation with Host Organizations
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Volunteer Preferences & Experience
Have you volunteered with youth before?
Please briefly describe your experience working with youth.
Areas of interest / preferred role
Certifications
Are you available for the FULL event (8 PM - 8 AM)?
What shift can you commit to?
Background Check Acknowledgment
I acknowledge that, as a volunteer serving minors, I consent to a background screening and understand that any information provided will be reviewed only by authorized leadership.
Have you ever been convicted of a crime involving minors, violence, or a sexual offense?
If yes, please briefly explain (this information will be kept confidential and reviewed only by authorized leadership).
Waivers
Volunteer Participation Consent
Liability Waiver and Release
Medical Waiver and Health Attestation
Code of Conduct and Child Protection
Confidentiality
Photo/Media Release
Transportation
Personal Property
Commitment
Electronic Signature
Volunteer Electronic Signature
Date of Signature

MonthDayYear
Date
Printed Name of Volunteer
Additional
Anything else we should know about you, or any questions for the team?
How did you hear about this volunteer opportunity?
Should be Empty:

Youth Up All Night Experience - Volunteer Registration

Volunteer Information

Emergency Contact

Volunteer Preferences & Experience

Background Check Acknowledgment

Waivers

Electronic Signature

Additional