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Youth Group Volunteer Sign-Up

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Volunteer Names
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Youth Volunteer Waiver

 Liability Release

By submitting this form, I understand that as a volunteer for Community Servings, Inc., my child will not receive any monetary compensation or any other form of remuneration from Community Servings, Inc.  I agree to hold Community Servings, Inc. blameless if, in the course of my child’s volunteer work, he/she is injured, becomes ill and/or requires medical treatment.  I hereby waive any claim against Community Servings, Inc. resulting from such circumstances.

I further understand and agree that my child will perform volunteer services in the best interest of, and with the utmost respect for, Community Servings’ clients and employees, and in full compliance with the Policies of Community Servings. I understand that Community Servings may discontinue my child’s role as a volunteer at any time, for any or no reason.


Privacy & Confidentiality Policy

I understand that during the course of my child’s volunteer work, he/she may learn privileged medical, personal and financial information about Community Servings employees and clients (“Confidential Information”).  Such Confidential Information shall not be used for any purpose other than the fulfillment of my child’s volunteer duties with Community Servings, Inc., and at no time will my child or I disclose Confidential Information without the express written consent of Community Servings.  I agree to discuss the foregoing with my child and will explain the importance of maintaining client confidentiality to him/her. 

Protection and preservation of the individual rights of all Community Servings, Inc. clients and agents is a requirement of my child’s association, and by submitting this form, I attest that my child and I understand and agree to abide by this Privacy & Confidentiality Policy. 

Harassment Policy  

The harassment of others because of their race, color, religion, sex, marital status, sexual orientation, age, national origin, physical or mental disability, or disabled or veteran status will not be tolerated at Community Servings.  In particular, an atmosphere of tension created by ethnic or religious remarks or animosity, unwelcome sexual advances, requests for sexual favors, or other conduct of a sexual nature does not belong in our workplace.

The policy of Community Servings is to forbid all unlawful harassment.  This policy extends to each and every level of our operations.  Accordingly, harassment whether by an employee, manager, supervisor, client, or volunteer will not be tolerated and, after being thoroughly investigated, can lead to disciplinary action up to and including termination.  Any complaints regarding harassment should be directed toward your Volunteer Coordinator, Vice President of Programs or the agency Human Resources Department.

By submitting this form, I attest that I have read and understand Community Servings’ Harassment Policy.  I further attest that my child will adhere to this Policy.

Media Release & Authorization

I hereby grant to Community Servings full and complete permission to photograph, record, tape and otherwise reproduce in any manner my child’s performance, appearance, photographs, voice, name and likeness and to include all or any thereof in a video to benefit their meals program, and/or in related programming, throughout the world, in all media, in perpetuity and for the purposes of promotional material related to the Community Servings.  This Release & Authorization constitutes a full release as to any licenses or other agreements that may be derived from this project. All of the said releases and waivers shall be binding on my heirs, successors, representatives, assigns, agents, and attorneys.  I understand that this release may only be altered by submission of a signed writing addressed to Community Servings, but that such writing shall not change or revoke any prior use or disclosure of media.  By submitting this form, I attest that I understand and agree to Community Servings Media Release & Authorization and have not relied upon any representation made by Community Servings in executing this form.