Please complete this application form if you are interested in volunteering for Global Youth Service Day. Once you complete the form, click the submit button at the bottom.

Name and address


Group Roster & Site Preference for GYSD.

Upon completion of this application, you will receive an email confirmation. You will be asked at that time to respond to the email with your group roster & Site Preference for GYSD.


Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.


Agreement:

By clicking the submit button, you acknowledge that you are the representative for the organization listed on this form and that you are at least 18 years of age and agree to the following:

We agree to volunteer our services to accomplish the work described for Global Youth Service Day and agree to the following conditions:
Roster: We agree to provide the City of Suffolk with an attendance roster to include name, address and phone number of participants.
Juveniles: Our group represents that if juveniles (under age 18) are participating, we assume all responsibility for obtaining formal parental/guardian consent for their attendance and participation as well as authorization for the City of Suffolk to take photographs or videos of the juvenile participants.
Waiver of Liability and Hold Harmless Agreement: I shall indemnify and hold harmless the City of Suffolk, its Council members, officers, employees and agents from and against any and all claims, losses, damages, fines, penalties, suits and costs, including injury and death penalties imposed by any authority which arise out of any violation of law by, and all acts and omissions caused by me, my employees, subcontractors, agents, or representatives while participating as a volunteer for the City of Suffolk.
Consent to Photographs: I understand that photographs or video may be taken of me, my child, or group members at any City of Suffolk Program or facility for publication in material used to promote the City of Suffolk, its programs, or events.
Termination: Either we, or the City of Suffolk, may terminate this agreement, at any time, by notifying the other party in writing.