America's Grow-a-Row Volunteer Registration Form

Thanks for taking the time to fill out this registration form! We look forward to seeing you soon!

Hidden Fields for Mapping

Volunteer Job ID

Group Volunteer Session ID

Ex: "0111" Please include all four digits

Volunteer Shift ID

Company/Organization Id

Your Contact Information

Company/Organization Name

What group are you volunteering with?

Volunteer event date

Title

Mrs./Mr. etc.

First Name

Last Name

Email Address

Home Address (including Apartment Number)

Please provide your home address

City

State

Zip code

County

Is this your first time volunteering with us this year?

If you are bringing children, how many?

Agreements and Permission

COVID-19 Agreement

In order to keep our volunteers and staff safe, we are asking all volunteers to agree to the following guidelines:

I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past 5 days.
I do not have symptoms of COVID-19 including cough, fever, chills, shortness of breath, or loss of taste or smell.
I have not come in close contact with anyone exhibiting COVID-19 symptoms in the past 5 days.
I will follow America's Grow-a-Row's posted and verbal rules to keep myself and those around me safe.
If I begin to show symptoms of COVID-19 within the next 2 weeks, I will contact a team member at America's Grow-a-Row.

I agree with all of the above COVID-19 guidelines

Volunteer Liability Agreement

I am aware that as a volunteer at America's Grow-a-Row I may encounter potential hazards which include but are not limited to: bee stings, poison ivy, cuts, sunburn, back injury from lifting, car accidents, property damage or injury to others in car accidents, falls, etc. I am voluntarily participating in this service with knowledge of potential hazards involved and hereby agree to accept any and all risks of injury. I have carefully read this agreement and fully understand its contents. *I am aware that this is a release of liability and I sign it of my own free will.

If you are allergic to bee stings, please remember to bring your epi pen.

I agree

Photo Permission

I permit America's Grow-a-Row to take and use photos for their publicity, website, social media pages, and annual end of the year video.

YesNo

eSignature