Thank you for Volunteering with Out Teach!

The Out Teach team is excited about the upcoming Big Dig at Mt. Zion Elementary on March 28, 2019, in partnership with Kaiser Permanente. The Big Dig is a day for Kaiser Permanente and community volunteers to transform an empty schoolyard into an engaging outdoor learning lab for a school community. 
Please fill out the survey below to register for the Big Dig - see you on March 28th! 

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* 1. First Name

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* 2. Last Name

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* 3. Street Address

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* 4. City

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* 5. State

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* 6. Email Address

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* 7. Lunch will be provided. Are there any dietary restrictions we should know about?

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* 8. I, the undersigned, hereby consent to be recorded in any manner, photographed, filmed, videotaped and/or interviewed for Out Teach and its assignees to use in any and all media, whether now known or hereafter invented, worldwide, in perpetuity.

I understand and agree that these media materials will become the property of the Out Teach. I agree that Out Teach or any other company/organization working with Out Teach or any other assignee may use or permit other persons to use the negatives, prints, digital image or video prepared from the photograph of my child and/or me, words or written materials reflecting his/her/my interview for any purposes and in such manner as they may choose, including but not limited to use in informational or promotional materials about Out Teach its partners and assignees.

I hereby irrevocably authorize the Out Teach to edit, alter, copy, exhibit, publish or distribute this recording for purposes of publicizing the Out Teach’ programs or for any other lawful purpose. I understand that I will not be paid or reimbursed in any way for current or future use of my/my child’s likeness, words or ideas. I hereby give up any right to inspect or approve the finished product or products that may be used in connection therewith or the use to which it may be applied.

I recognize that participation in Out Teach activities involves outdoor and indoor physical activity for me. I have carefully considered the risk involved and have given consent for myself to participate in Out Teach activities. I also understand that participation in these activities is entirely voluntary and requires participants to follow rules and standards of conduct. I release Out Teach and all of its partners, assignees, affiliates, trustees, employees, agents, representatives, volunteers, related parties or other organizations associated with Out Teach activities from any and all claims, demands or liability arising out of this participation, including, but not limited to, claims of negligence that may cause personal injuries, property damage, invasion of privacy and/or breach of confidentiality.

I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.

Please sign your name in the text box below.

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* 9. I have read and understood the liability and image waiver above and accept these terms. 

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* 10. Please use my email address to keep me informed about Out Teach activities and volunteer opportunities. We will never share or sell your information.

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* 11. Please select your t-shirt size below.

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