Volunteer Changes to Indemnity Waiver Form (COVID-19)

Waiver form - Participants

  • The information being collected by the Agency is being collected for the express purpose of operating the mentorship program and will be used and may be disclosed to staff and volunteers as required for such purpose.
  • By entering your name you are confirming you agree to the above terms and conditions.
  • By entering your name you are confirming you witnessed the Participant or the Participant's Parent or Legal Guardian sign the consent form.
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