Metro Volunteers

First Name *
Last Name *
Date of Birth *
	mm/dd/yyyy
We require date of birth for verification of eligibility with affiliate projects/activities and for demographic reporting for funders.

Mailing Address *
Address Line 1 *
Address Line 2
City *
State *
Zip code *
County

Main Phone Number *		Type*
Other Phone Number		Type

Place of Employment

Your login information will be:

Email Type *

E-mail Address *

Re-Enter E-mail Address*

Password *

Re-Enter Password *

Please send me the e-newsletter.

Sign me in Automatically

Click here if you have a disability.

Gender

Race

Education Level

How did you hear about us?

	Company			TV
	Friend			Hands On Network
	Internet			Newsletter
	Newspaper			Nonprofit Agency
	Points of Light Foundation			Special Event
	United Way			Other
	Radio

Availability

	Weekdays (Monday - Friday)
	Weeknights (Monday - Friday)
	Weekends (Saturday - Sunday)
	Weekdays & Weekends
	Weeknights & Weekends
	All / Anytime
	I am available to work on short notice for important volunteer needs

Terms and Conditions

Terms and Conditions

I agree to the following terms and provisions in consideration of my participation in any and all 
Impact volunteer activities sponsored by Metro Volunteers, a non-profit and charitable organization.

PARTICIPANT acknowledges and agrees that volunteer activities undertaken with Metro Volunteers:
•       Include diverse activities that could result in harm or injury to PARTICIPANT, whether physical 
	or mental, or damage to property from the participation in such activities.
•	May involve promotional activities including television, radio, or newspapers that would cause 
	sound records, photographs, and/or video to be taken and published of PARTICIPANT for the purpose 
	of promoting Metro Volunteers and its activities.
•	Require PARTICIPANT’S unconditional permission for the use of such photographic, video images, or 
	sound recordings for promotional activities of Metro Volunteers and its activities.
•	Do not entitle PARTICIPANT to reimbursement or compensation for such volunteer activities or any 
	other benefit to which an employee or independent consultant might be entitled to in consideration 
	for the performance of certain activities.

Being fully aware of the risks, nature, and conditions of the volunteer activities described above, 
PARTICIPANT agrees to waive, release, and discharge any claims for personal injury whether physical or 
mental, damage to property, and any other liability associated with the participation in volunteer activities 
and further agrees to hold harmless and indemnify Metro Volunteers, its officers and directors, employees, a
ffiliated agencies, and volunteers (collectively referred to herein as “Metro Volunteers”) from any and all 
liability from any cause of action, claim, or suit resulting from participation in volunteer activities 
with Metro Volunteers.  

I also hereby confirm, represent and warrant that I have never been arrested or convicted for a violent crime, 
child abuse or neglect, child pornography, child abduction, kidnapping, rape or any sexual offense, nor have 
I been ordered by a court to receive mental health treatment in connection with any of the foregoing.

This Agreement shall be binding upon PARTICIPANT’S assignees, heirs, personal representatives, and executors.  
By signing this Agreement, I acknowledge that I have read, understand, and voluntarily agree to its terms.  
I also represent and warrant that I am of legal age to sign this Agreement.  If PARTICIPANT is under the age 
of 18, I hereby consent as the parent or legal guardian of the PARTICIPANT to all the terms and provisions 
contained above and further acknowledge that I have read and understand the terms and provisions.

I agree I disagree


	AN AFFILIATE OF