COUNT ME IN on JANUARY 28th!

MLK, Jr. POP UP Hygiene Kit Project
January 28, 2025
9am-12pm
Greater Tacoma Convention Center, 1500 Commerce St.
 
 

About Me

I am volunteering as: *
 
Do you have any physical/medical limitations which we need to take into consideration? *
 

Legal Stuff

VOLUNTEER COMMITMENTS: I understand that I am not an employee of United Way of Pierce County and agree to serve without compensation. I further agree that if I use my personal automobile to drive to and from my volunteer assignment or during my service, I will maintain a valid driver's license and will keep in effect automobile liability insurance equal to or greater than the minimum required by WA state law. I understand that the information provided on this form may be disclosed for the purposes of volunteerism only. I agree to keep all information about clients, volunteers or other individuals obtained while volunteering confidential. I am under no obligation to accept or continue any assignment unless I choose to do so. I agree to release United Way of Pierce County of any and all claims to myself or others which may arise as a result of any expenses, personal injury, loss or damages incurred during my volunteer participation. I understand that due to the nature of the work performed by United Way volunteers, the program may inquire about any convictions, fines, imprisonment or periods of probation that a prospective applicant has had for violation of any law, police regulation or ordinance. I herby acknowledge that United Way of Pierce County is doing everything they can to protect the public as well as myself as a volunteer. To this extent, I agree to follow Centers for Disease Control (CDC), local health guidelines and United Way of Pierce County policies and procedures for social distancing to reduce the spread of COVID-19. This may require me to maintain six (6) feet of distance between myself, fellow volunteers and patrons of the organization as much as possible. If required, I agree to utilize surgical or cloth masks to reduce the risk of exposure to myself and others. I agree to wash or sanitize my hands after using the restroom, sneezing and coughing, and before eating or preparing meals of sundries for distribution, and will properly wear and utilize sterile gloves. United Way of Pierce County is not responsible for any potential exposure to COVID-19, which is not a direct result of negligence on the part of their employees, volunteers or the organization. Unless specifically state in writing, I understand that there is no Washington State Labor and Industries employment security insurance provided to me. By signing below, I agree to comply with the written instructions above. *
COMMUNICATIONS RELEASE: I hereby assign the rights to the video and/or photographic recording(s) made of me participating in volunteer activity by United Way or its agencie(s) and collaborator(s), hereto referred to as United Way, to said United Way. I hereby authorize the editing, duplication, reproduction, copyright, exhibition, broadcast and or nonprofit use and distribution of said recording(s) for purposes deemed suitable by United Way. I hereby waive any right to approve the finished products. I hereby certify that I am over eighteen years of age and am competent to enter into this release. I have read the foregoing release, authorization, and agreement, before affixing my signature below and warrant that I fully understand the contents thereof. *
I affirm with my signature below that the information I have provided is accurate to the best of my knowledge. Use your mouse (if using a desktop computer) or your finger (if using a touchscreen tablet) to sign your name.  You may click "clear" to erase and start over. *
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Future Opportunities

Please indicate any engagement opportunities you would like to learn more about: