CHILD VOLUNTEER APPLICATION (under 18)

Sign-up to volunteer with Fields to Families
(under 18 years of age submitted by parent or guardian)

Child's Name
Child's Date of Birth
Child's address
Parent's Name
Parent's address (If different from child)
Parent's phone
Parent's email
Emergency contact information

I am the parent/legal guardian of , a minor child. That I (parent/guardian), on behalf of (minor) do hereby understand that I am allowing the minor child to participate in volunteer activities of a physical nature which may expose the minor child to risk of injury or bodily harm. That I (parent/guardian), on behalf of (minor) do hereby release Fields to Families and all of its supporting farms, organizations and agencies, and all of its directors, officers, agents, staff and volunteers from any and all liability for any and all damages or injuries that may result to my child or property as a result of his or her role as a volunteer.