Volunteer Forms

Liability, Confidentiality, & Photo Release Form

Speak up for Client Safety & The Liability, Confidentiality, and Photo Release Form

Please download and read the two forms via the buttons above. Once you have read that information, please fill out the form below.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Organization(Required)

Number of Hours Volunteering

Please enter a number from 0 to 100.

At Which Site Are You Volunteering(Required)

Emergency Contact Information

Name(Required)

First Last

Phone(Required)

By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.