Good Deeds Day Registration – Jewish Volunteer Connection

Contact 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? *

Additional Volunteer #1 Name: *

Is this volunteer under 18 years old? *

Yes

No

NOTE: You will be asked to provide the birth date for volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.

Additional Volunteer #1 Date of Birth *

Additional Volunteer #2 Name: *

Is this volunteer under 18 years old? *

Yes

No

NOTE: You will be asked to provide the birth date for volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.

Additional Volunteer #2 Date of Birth *

Additional Volunteer #3 Name:

Is this volunteer under 18 years old? *

Yes

No

NOTE: You will be asked to provide the birth date for volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.

Additional Volunteer #3 Date of Birth *

Additional Volunteer #4 Name:

Is this volunteer under 18 years old? *

Yes

No

NOTE: You will be asked to provide the birth date for volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.

Additional Volunteer #4 Date of Birth *

Additional Volunteer #5 Name:

Is this volunteer under 18 years old? *

Yes

No

NOTE: You will be asked to provide the birth date for volunteers under the age of 18 to ensure that we can place the volunteer in an age-appropriate project.

Additional Volunteer #5 Date of Birth *

Registration Information

My Preferred Project *

Second Choice *

Are You Interested in Being a Project Leader? *

Yes

No

Would you like to register for a second volunteer opportunity on Good Deeds Day? *

Yes

No

I Would Also Like to Register For: *

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

If My Project is Full, I Want to Register For: *

Additional Information

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