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GND Reg 2019
Home
GND Reg 2019
Event Registration - CHAI's Good Neighbor Day
Event Registration - CHAI's Good Neighbor Day
Which project for Good Neighbor Day would you like to register for? (you may select one or both!)
*
Prepare Older Neighbors for Winter: 9am-12pm
Western Run Stream Clean: 1pm-3pm
Are you registering as an individual/family or an organizer or leader of a group (synagogue, school, troop, etc.)?
*
Individual/Family
Group Organizer/Leader
Group Information
Group Name/Affiliation
*
Group Contact Person Name
*
for planning purposes- day of contact can be different
Group Contact Person E-mail Address
*
Number of Volunteers in Group
*
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Does your group include volunteers under the age of 18?
*
Yes
No
Volunteer groups including youth will be sent a permission slip to be completed by the parent/guardian of each child. Additionally, we ask for a ratio of at least 1 adult chaperone for every 4 children.
Will the group contact above be the day-of contact for this group?
*
Yes
No
Day of Contact Name
*
Day of Contact E-mail Address
Day of Contact Phone Number
*
Individual/Family Information
First Name
*
Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Preferred Phone Number
*
E-mail Address
*
How many additional volunteers would you like to register? (Family who will be joining you and want to volunteer together at the same project indicated above)
*
0
1
2
3
4
Additional Volunteer #1 Name:
*
Is this volunteer under 18 years old?
*
Yes
No
NOTE: You will be asked to share the age of volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.
Additional Volunteer #1 Age
*
Additional Volunteer #2 Name:
*
Is this volunteer under 18 years old?
*
Yes
No
NOTE: You will be asked to share the age of volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.
Additional Volunteer #2 Age
*
Additional Volunteer #3 Name:
Is this volunteer under 18 years old?
*
Yes
No
NOTE: You will be asked to share the age of volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.
Additional Volunteer #3 Age
*
Additional Volunteer #4 Name:
Is this volunteer under 18 years old?
*
Yes
No
NOTE: You will be asked to share the age of volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.
Additional Volunteer #4 Age
*
Additional Volunteer #5 Name:
Is this volunteer under 18 years old?
*
Yes
No
NOTE: You will be asked to share the age of volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.
Additional Volunteer #5 Age
*
Additional Information
Are you (or someone in your party) comfortable using electric lawn tools?
*
Yes
No
How did you hear about CHAI's Good Neighbor Day
*
JVC or CHAI E-mail
JVC or CHAI Facebook
JVC or CHAI Website
Beth El
Beth Tfiloh
Other
Other
Do you or does any member of your group require special accommodation? If so, please provide details.
Please share any comments or questions below:
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
Submit
