2023 MLK Day WAIT LIST – Art with a Heart – Macks Jewish Connection Network

Registration Information

First Name *

Last Name *

Address *

Address

City

State/Province

Zip/Postal

Preferred Phone Number *

E-mail Address *

Will you be bringing additional volunteers? *

Yes

No

Are you interested in being a Project Leader? This will involve working with JVC staff to coordinate day-of details to ensure a smooth volunteer experience.

Yes

No

Additional Volunteers

First Name *

Last Name *

Is this volunteer under 18? *

Yes

No

What is their age? *

Add Remove

Do you (or any member of your family) require special accommodations? If so, please explain:

Liability Information

For all volunteers: I release and hold harmless THE ASSOCIATED: Jewish Community Federation of Baltimore, its affiliates, officers, employees and agents from and against all claims, damages, liabilities, losses and expenses actually incurred, arising out of any personal injury or property damage resulting from participation in any activity. This release shall be binding on my family, heirs, executors, administrators, personal representatives and guardians. *

I Agree

For volunteers under age 18: I represent that I am the custodial parent or legal guardian of the above registered child(ren), and intend THE ASSOCIATED and its affiliates, officers, employees and agents rely on this representation. *

I Agree

N/A

I give my permission to have my photograph used by THE ASSOCIATED: Jewish Community Federation of Baltimore. My agreement on this form gives photography release rights to THE ASSOCIATED. This release pertains to print as well as electronic media, including brochures, advertisements, annual reports, the website and other materials used to promote ASSOCIATED and constituent agency programs to the community. This release excludes third party media, state, and corporate security from the waiver. *

I Agree

I Do Not Agree

2023 MLK Day WAIT LIST – Art with a Heart

Registration Information

Additional Volunteers

Liability Information

Contact Info

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