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Apply to be a Volunteer

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Male Female 

EMERGENCY CONTACT INFORMATION

VOLUNTEER SERVICE INFORMATION

WHAT ARE YOUR AREAS OF INTEREST? CHECK ALL THAT APPLY


WHAT DO YOU ENJOY MOST OR SEE YOURSELF DOING AS A VOLUNTEER?


WHY WOULD YOU LIKE TO VOLUNTEER?


AVAILABILITY (CHECK ALL THAT APPLY):

DAYS:

TIMES:


EMPLOYMENT,BACKGROUND INFORMATION & REFERENCES

HAVE YOU EVER BEEN CONVICTED OF OR PLED GUILTY TO A CRIMINAL OFFENSE?

if yes, please provide the date(s) and type of offense(s), disposition and other significant details:

A conviction will not automatically prevent you from volunteering. The nature, severity and date of offense in relation to the position for which you are volunteering will be considered; consequently, we do need the facts relative to the conviction(s).

PLEASE LIST TWO PERSONAL AND ONE FAMILY REFERENCE:

PHOTO RELEASE: I grant permission to the YMCA to use photos/videos taken of me for publication in any form to promote YMCA activities.

 I have read and agree to the Photo Release

AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT: If I should become ill or injured during a volunteer activity, I understand that the YMCA will contact the person I have designated.
Should the YMCA be unable to contact the person designated as the Emergency Contact, they are
Authorized to arrange for immediate emergency treatment necessary to ensure my health and safety. I accept responsibility for payment of medical services rendered.

 I have read and agree to the Authorization for Emergency Medical Treatment

ASSUMPTION OF RISK: I understand that community service activities may include work that may be hazardous to me. I hereby expressly and specifically assume the risk of injury or harm, or loss or damage to property arising from participation in the volunteer activity. If I require accommodations for special needs or disabilities, I will contact the YMCA, whereby the YMCA, on a case by case basis, will review the accommodation request.

 I have read and agree to the Assumption of Risk

VOLUNTARY RELEASE OF THE YMCA OF THE CAYMAN ISLANDS FROM LIABILITY: I am an adult over 18 years of age and I wish to participate in YMCA Volunteer activities, or give my child/ward named as the participant above permission to participate in YMCA Volunteer activities. I understand that even when every reasonable precaution is taken, accidents can sometimes happen.Therefore, in exchange for the YMCA allowing me to participate in volunteer activities, I understand and expressly acknowledge that I release the YMCA and Its staff members from all liability for any injury, loss or damage connected in Any way whatsoever to my participation or my child/ward’s participation in YMCA Volunteer activities, whether on or off YMCA premises. I understand that This release includes any claims based on negligence, action or inaction of the YMCA, its staff, directors, members, participants and guests.

 I HAVE READ, UNDERSTAND AND AM VOLUNTARILY AGREEING TO AND ACCEPTING THIS AUTHORIZATION AND RELEASE

1.The use of illegal drugs, tobacco and/or alcohol is prohibited at any time during any YMCA programme, activity or event.
2.The information that I have provided may be verified and I give permission to the YMCA of the Cayman Islands to make inquiries from others, which may include a criminal background check to determine my suitability to act as a YMCA volunteer.
3.In the course of volunteering for the YMCA, I may encounter confidential information and I agree to keep said information in the strictest confidence.
4.The relationship between the YMCA and volunteers is based upon satisfactory performance and representation of the YMCA and may Be terminated at any time for discretionary reason.

 I affirm that I have read the above and that the information I have provided is true and complete. I agree to Abide by the policies, procedures, guidelines and stipulation of behavior while volunteering for the YMCA Of the Cayman Islands.