Virtual Volunteer Registration Form

Are you at home wondering how you can still be involved during the pandemic? Fill in your contact information, check out our suggestions below, and (vitually) get out in your community!

 
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Volunteer Options
Please select the opportunities that you are most interested in from the fields listed!
If you have other ideas for virtual opportunities, please list them here and we will contact you to see how we can support you.
Volunteer Releases
Liability Release – I hereby release, indemnify and hold harmless Jackson County United Way, the organizers, the agency at which I volunteer, and sponsors and supervisors of all activities, from any and all liability in connection with any injury (including injury caused by negligence) in conjunction with this volunteer opportunity. I likewise hold harmless from liability any person transporting me to or from this activity. I also certify that I am in good health and able to participate in the program activities near the date identified by my signature. I certify that I am over 18 years of age and am competent to contract my name insofar as the above is concerned. I have read the foregoing release, authorization, and agreement, before affixing my signature below and warrant that I fully understand the contents thereof. Assumption of Risk - I understand that the Activities in which I will engage with Jackson County United Way involve inherent and other risks. I acknowledge that the activities may be strenuous and dangerous and require a certain degree of physical condition, ability, maturity, and skill. I acknowledge that I am solely responsible for determining my suitability to participate in the activities. I have the requisite skills, qualifications, physical and mental ability, and training necessary to properly and safely participate in the activities. I share responsibility for my safety and will follow instructions, make reasonable decisions, and act responsibly. Jackson County United Way cannot ensure my safety and does seek to eliminate all of the risks of the activities. I choose to voluntarily participate and observe the activities despite all risks. I assume all inherent and other risks and accept responsibility for any property damage and loss, and for any personal injury, illness, disability, emotional distress, and death that I (or my child) may suffer, whether described above or not. Confidentiality Statement – I understand I have an obligations to protect information regarding all JCUW donors, volunteers and program participants. Any information designated as confidential, privileged or nonpublic may not be disclosed to anyone outside the organization and may be discussed within the organization only on a “need to know” basis. Communications Release – I hereby assign the rights to the video and/or photographic recording(s) made of me on during my volunteer opportunity, to the Jackson County United Way or its agency(s), hereafter referred to as JCUW. I hereby authorize the editing, duplications, reproduction, copyright, exhibition, broadcast and/or nonprofit use and distribution of said recording(s) for purposes deemed suitable by JCUW. I hereby waive any right to approve the finished products and any and all claims for compensation for such use, publication or copyright or for damages. I certify that I am over 18 years of age and am competent to contract my name insofar as the above is concerned. I have read the foregoing release, authorization and agreement, before affixing my signature below and warrant that I fully understand the contents thereof.
I have carefully read the foregoing release and indemnification and understand the contents thereof and sign this release as my own free act.
Are you under 18 years old?
If under 18, please provide name and email address of a parent/guardian.
Now What?
Once submitted, you will be redirected to our Virtual Volunteer Opportunities page for information on how to complete your volunteer activity. If you have any questions or concerns, please email emily@jacsy.org.