Lions Food Drive Volunteer Registration Form | Community Care of West Niagara

Lions Food Drive Volunteer Registration

First and Last Name: *

Address: *

City *

Primary Phone (if we need to contact you): *

Cell (if different than above):

Email Address: *

Do you require community service hours for school?

Yes

Please list the name of school, group or organization you are with.

The following volunteer spots on a first come first served basis. *

*PLEASE NOTE: All Volunteers are required to wear closed toe shoes at the Food Drive event.

Please list any additional team members, family members (or any children 17 & under) that will be joining you. *By doing this, it means that the confidentiality & consent portion below would also apply to the names you list.

Additional comments:

CCWN Confidentiality & Non-Disclosure Agreement

As a result of my involvement with CCWN, I will acquire knowledge of confidential information of individuals, groups, agencies, and/or governments associated with CCWN business. This information is privileged and is not to be discussed with persons other than relevant CCWN staff, volunteers and members of the Board of Directors. I understand it is the policy of CCWN to hold such confidential information in the strictest of confidence and recognize that the individuals, groups, agencies, and/or governments associated with CCWN business entitled to such protection as a matter of right. By signing below, I undertake that both now and in the future, I will keep confidential and not disclose any or all information pertaining to individuals, groups, agencies, and/or governments associated with CCWN business unless otherwise stated in CCWN Policy.

I have read, understood and accept the above.

Yes

NO

Consent for the use of Testimonials, Photos, Video & Audio Recordings

I grant permission to CCWN and persons acting for or through them, the right to use, reproduce and/or distribute images, testimonials, sound recordings and video recordings of me and/or my child(ren) for the purpose of promoting CCWN and programs offered.

I agree that any testimonials I give can be used on:

CCWN's Website

CCWN's Social Media (FB, Twitter, Instagram)

CCWN Print or Promotional Materials

I agree that any photos/videos of me volunteering at the food drive can be used on:

CCWN's Website

CCWN's Social Media (FB, Twitter, Instagram)

CCWN Print or Promotional Materials

Today's Date

By clicking on the submit button below, you confirm that you have read the terms and conditions, that you understand them and that you agree to be bound by them.

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