Please complete this application form if you are a group participant who has a scheduled Group Volunteer Event with the Georgia Mountain Food Bank. Once you complete the form, click the submit button at the bottom.


Please make sure that you select YOUR group event from those listed.


Please put "None" in the Insurance Carrier box if you do not have medical coverage.This information is for emergency purposes only.


Thank you.


Name and Contact Information


Group Name


Demographics


Media Release and Waiver of Liability

MEDIA RELEASE: I give the GMFB, its designees, agents and assigns unlimited permission to use, publish and republish in any form or media, information about me. reproduction of my likeness (photographic or otherwise) and my voice, with or without identification of me by name.

WAIVER OF LIABILITY: In conjunction with my voluntary involvement in activities undertaken for, and with the participation and support of the Georgia Mountain Food Bank, a non-profit charitable organization, I hereby agree, for myself, my heirs, my assigns, executors, and administrators to release and discharge the Georgia Mountain Food Bank, its officers and directors, employees, agents, and volunteers from all claims, demands, and actions for injuries sustained to my person and/or property as a result of my involvement in such activities, whether or not resulting from negligence, and I agree to release and hold the Georgia Mountain Food Bank, its officers and directors, employees, agents and volunteers harmless from any cause or action, claim or suit arising therefrom. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release.

You must be 18 years old or older to complete this section. (If applicant is a minor, the YOUTH Volunteer Application must be signed by Parent/Guardian)