GIVE. ADVOCATE. VOLUNTEER.VOLUNTEER WAIVERPlease view our Code of Ethics before submitting your waiver. Company / Group Name* Volunteer service to be performed by volunteer* Name* First Last Email Address* Cell Phone*Work PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I agree to the code of ethics.* I agree See link below.Liability Disclaimer Agreement* I agree to the liability disclaimer agreement.In accordance with the spirit of volunteerism and service, I the undersigned, assume full and complete responsibility for any injury or accident that may occur to me during the volunteer service project. I hereby release and hold harmless the United Way of the Ozarks, United Way Partner Agencies, and all sponsors, persons, and entities associated with this service project for injuries and damages sustained to me, whether caused by the negligence of the sponsors, other persons, or entities associated with this event, or otherwise. I also grant United Way of the Ozarks and its affiliates permission to use any photographs taken of me while I am working on the volunteer project to help promote volunteerism and United Way of the Ozarks' mission. All volunteers must complete a background screening once per year prior to performing any work unless the volunteer work does not involve children or the volunteer is an employee of Springfield Public Schools.Parent or Guardian* First Last Email Liability Disclaimer Agreement* I agree to the liability disclaimer agreement.In accordance with the spirit of volunteerism and service, I the undersigned, assume full and complete responsibility for any injury or accident that may occur to me during the volunteer service project. I hereby release and hold harmless the United Way of the Ozarks, United Way Partner Agencies, and all sponsors, persons, and entities associated with this service project for injuries and damages sustained to me, whether caused by the negligence of the sponsors, other persons, or entities associated with this event, or otherwise. I also grant United Way of the Ozarks and its affiliates permission to use any photographs taken of me while I am working on the volunteer project to help promote volunteerism and United Way of the Ozarks' mission. All volunteers must complete a background screening once per year prior to performing any work unless the volunteer work does not involve children or the volunteer is an employee of Springfield Public Schools.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
