1.Volunteer Information

Volunteer Name:

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Shirt Size:

3.Emergency Contact

Name

Phone Number

4.I hereby agree to volunteer for Cecil Cares 2020. I understand that I am acting as a volunteer and I will follow all project instructions in a safe manner according to the policies of the organization to which I am assigned. I understand I may be required to provide additional information to the organization I am assigned to for Cecil Cares.  I agree to hold Cecil County Department of Community Services, Cecil County Government, its agents, and employees harmless from any personal injury and or liability.  If I am unresponsive, I give the organization to which I am assigned permission to call appropriate authorities as well as the people I have listed as my contacts.

I grant permission to the Department of Community Services, on behalf of Cecil County Government and its agents or employees, the right to use photographs taken of me during Cecil Cares 2020 in promotional materials, and on the Cecil County Government, DCS and Volunteer Cecil websites or Facebook pages. I hereby waive any right to inspect or approve the finished photographs

Please enter your name as a signature below to confirm you have read, understood, and agreed to the above.

Volunteer Signature:

Date:

5.If the volunteer is younger than 18, please provide a parent/guardian signature:

Parent/Guardian Signature:

Date: