DFI Staff Appreciation Park Heights, Food Distributor

Registration Information

First Name *

Last Name *

Preferred Phone Number *

E-mail Address *

Organization (if applicable)

Food Distributor

Will you be bringing additional volunteers? *

Yes

No

Additional Volunteers

Full Name *

Is this volunteer under 18? *

Yes

No

What is their age? *

Add Remove

Do you or does any member of your family require special accommodations? If so, please provide details.

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

I give my permission to have my photograph used by THE ASSOCIATED: Jewish Community Federation of Baltimore. My signature on this Photograph Release 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. *

I Agree

I Do Not Agree

DFI Staff Appreciation Park Heights, Food Distributor

Registration Information

Additional Volunteers

Liability Information

Contact Info