Cuyuna Range Youth Center Volunteer

Cuyuna Range Youth Center

Adults volunteering for youth activities must fill out this application & be approved by CRYC .
CRYC

cryouthcenter@gmail.com 218-545-6575
Name*

First NameLast Name
Legal name if different then above*
Preferred Name
Birth Date*

MonthDayYear
Email*
example@example.com
Phone Number*
Cell
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Fill out as much information as you feel comfortable with.

optional
Employer or Organization Representatives.

optional
Company/Organization /Retired
Optional
Department/Position
Alumni
optional
Optional
Why are you applying to be a youth volunteer?
Which of the volunteering activities interest you?
Let TCE know how we can help accommodate your participation with any physical, cognitive or social needs. We want to ensure all volunteers participating have a fun, impactful and welcoming experience.
All information is confidential. Please contact us with any questions.
Reference 1*

First NameLast Name
Email or Phone #
example@example.com
Phone Number or Email
Please enter a valid phone number.
Informed Consent and Acknowledgement

I hereby give my approval for my participation in all activities prepared by CRYC Activities. Some activities there could be a risk of being injured that is inherent in any activities. CRYC , participants, sponsors and affiliated organizations or persons is not liable for injuries or damage incurred. Duty of care has been taken in planning activities to mitigate foreseeable hazards and ensure a safe environment for all participants and bystanders. Generally, most activities carry very little risk of injury. The CRYC safety standard committee prepares for the physical and emotional well-being of all participants.

I give permission for CRYC to use my child’s photo for media purposes. (newspaper, social media newsletter etc.) for any questions, regarding permissions or photo release. If any part of this form is preventing your from signing up you, please let us know.

cryouthcenter@gmail.com

218-545-6575
I agree to the Informed Consent and Acknowledgement statement above*

Type option 1
Have you been convicted of any crimes that prohibits your participation with children or vulnerable adults?*
Ever been convicted of crimes against children or adults with disabilities?*
All information I provided is true and accurate.*

I Agree
I Agree to be kind & respectful to all participants.*

I Agree
I give consent for TCE to use the information for the purpose of a background check. All information is confidential.*

I Agree
I give consent for TCE to use and release my photo for promotional purpose.*

I Agree
Name*

First NameLast Name
Names, ages, school and grade of children if you are interested in family participation.
Optional. Parents interested in participating in community events.
Should be Empty:

Cuyuna Range Youth Center

CRYC

Fill out as much information as you feel comfortable with.

Employer or Organization Representatives.