Parents and Guardians - Please complete this form if you are consenting to the application and volunteering of the child/minor (under age 18) mentioned below.
Please note that anyone under the age of 16 must be accompanied by an adult in order to volunteer on site. In order to accompany a minor, please fill out our adult volunteer application linked below. Filling out this application will also enable you to volunteer with us as an individual if you wish to do so in the future.
Please direct any questions or concerns to our volunteer services team at email@example.com, (619) 487 0606.
The following information is used only to help us get a better idea of the demographic make-up of our volunteers.
Please indicate the days and times that your child is available to volunteer.
I, the legal parent or guardian of this minor, hereby acknowledge that there are certain risks of injury involved in participating in volunteer activities, and I knowingly and freely assume all such risks and assume full responsibility for any such injury. To the extent allowed by law, I agree to indemnify and hold harmless Serving Seniors, its governing board, officers, employees, agents, representatives and volunteers, of all liabilities and all loss or damage to person or property which may occur or be incident to me or my child minor’s involvement or participation as a volunteer.
I am not aware of any physical or medical conditions that would interfere with the child's ability to participate. If the child is injured or becomes ill and neither I nor any other parent/guardian identified can be reached, I give Serving Seniors permission to seek medical attention for the child.
I, the legal parent or guardian of this minor, understand a Serving Seniors volunteer may be exposed to personal and/or confidential information, including but not limited to, information regarding clients, donors and/or vendors of Serving Seniors. I agree that neither I nor my child minor will disclose personal and/or confidential information I or my child minor obtain as a volunteer for Serving Seniors to any unauthorized body.
I, the legal parent or guardian of this minor, understand that my child may be photographed during the course of the activity. I grant full permission to Serving Seniors to use the photographs or any other record of participation in the activity in any broadcast, telecast, or other account of the activity for publicity purposes, without compensation, by checking below.
I hereby release the rights, ownership and usage of any photos or images taken during the course of volunteer time. I grant ownership to Serving Seniors to use the images to promote the agency however they see fit.
For the health and safety of our clients, our current policy is that all volunteers must be fully vaccinated against COVID-19. Please indicate below whether this minor has a completed COVID-19 Vaccination Record Card. If minor has been fully vaccinated, but lost their card, we can send you the government form to request a new one.
I, the legal parent or guardian of this minor, understand and agree that submitting this application form does not automatically register me or my child minor as a Serving Seniors volunteer, and that there may be certain qualifications I and my child minor must meet, including the acceptance of established volunteer policies and procedures before volunteering begins.
I understand that if the child minor is under the age of 16, a parent/guardian or other adult will need to be present at the time of volunteering. I understand that if the child minor is the age of 16 or 17, they are able to volunteer without the presence of a parent or guardian.
I have had the opportunity to read and understand the above, including the release, and acknowledge that by digitally signing the document, I am waiving certain legal rights in the event of injury.
By pressing "Continue", I accept and agree to the terms contained above.