Ally Application Form

Please be aware that Leaders in our program are NOT allowed to use marijuana recreationally. Therefore, we ask that your Ally involvement with Leaders or other Allies does not involve the use of marijuana. Additionally, some of our Leaders and Allies may have struggled with alcohol moderation in the past. We ask that you be sensitive to the struggles of others when engaging in activities with fellow program participants.

Please check the box if you understand and agree to uphold our substance policy, and be sensitive to the above-mentioned dynamics

In order for me to participate as a volunteer with CrossPurpose, after due consideration of my age, health, physical condition and ability, and any inherent risk and personal risks involved in CrossPurpose activities, I voluntarily agree to assume all risks of loss that arise out of my participation and agree to waive any and all claims against CrossPurpose and the other parties described below.I realize that working with CrossPurpose may involve risks and hazards, including but not limited to the risk of injury, to me. I am aware of the risks and hazards inherent in my participation in CrossPurpose and do hereby assume sole responsibility for all such risks and waive all claims against CrossPurpose and their respective agents, representatives, officers, employees, successors, assigns, and insurers. I agree that I will abide by the rules of CrossPurpose while participating as a volunteer.

To acknowledge that you have read, understood, and voluntarily agreed to the foregoing waiver and release agreement, please check the box

Occasionally photos and videos are taken of CrossPurpose activities and participants to show others what the organization is like. I hereby give CrossPurpose permission to use such images of myself in activities for public relations, marketing, and other purpose.

To give CrossPurpose the above-mentioned permissions, please check the box

To the best of my knowledge and barring unforeseen and unavoidable circumstances, I commit to doing my absolute best to attend all Wednesday night Family Gatherings from 6:00pm - 8:00pm, whether onsite or via Zoom Call. I understand that if my attendance falls below 80% OR I miss 3 consecutive Family Gatherings, it will negatively impact my small group, and I may be asked to leave the Ally program.

I understand that completion of this application and the ensuing background check DOES NOT guarantee entry into the CrossPurpose Ally Program, and I agree to abide by CrossPurpose's final decision regarding whether the Ally Program is the best fit for me at this time.