Volunteer Signup Questionnaire

First Name

Last Name

Phone

Zipcode

City/State

Address

What volunteer opportunities are you interested in?

Will you be coordinating a group of volunteers?

If you have any physical limitations please let us know. For example, you cannot stand for long periods of time, you are unable to lift or carry heavy objects or bags, if you have any time constraints, etc..

Physical Limitations

I understand that the event is rain or shine. Volunteers will be required to be on their feet for the majority of their shift. Traffic control volunteers will be outside for the majority of their shift.

IMAGE RELEASE. For good and valuable consideration, the receipt and sufficient of which I hereby acknowledge, I give and grant the United Breast Cancer Foundation (UBCF), and all those acting on its behalf, the absolute right and permission, with respect to the photographs and videos UBCF has taken of me and testimonials I have submitted to UBCF (the Content), to use the Content in connection with furthering the mission of UBCF in any and all ways, formats and media UBCF determines in its sole discretion. I hereby release, discharge and agree to save UBCF, all those acting on its behalf and all those for whom UBCF is acting, from any and all claims and demands arising out of or in connection with the use of the photographs, video, and or testimonial, including any and all claims for libel. I am of legal age and have read the foregoing and fully understand the contents thereof.
Please select one:
I give permission to UBCF to use the Content without restriction and to copyright all of it in UBCFs name.
I give permission to UBCF to use the Content photo as long as it is not used for promotional materials.