Community Care of West Niagara Volunteer Consent Form
I confirm that I have reviewed the Confidentiality & Non-Disclosure Agreement. I agree that both now and in the future, I will keep information confidential and not disclose anything pertaining to individuals, groups, agencies, and/or governments associated with CCWN business, except as permitted by CCWN policy.
Yes
I confirm that I have reviewed the statement regarding Photography at CCWN Events. I grant permission to CCWN and those acting on its behalf to use, reproduce, and/or distribute photographs, testimonials, audio recordings, and video recordings of me and/or my child(ren) for the purpose of promoting CCWN and its programs and services.
Yes
Parent/Guardian Name:
First Name
Last Name
Child(ren) Name(s):
Parent/Guardian Signature:
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Should be Empty: