Get Special Needs Form

Organization of Special Needs Families Volunteer Registration Form Today s Date // Month Day Year Adult Volunteer or Parent/Guardian Information 1. Name Relationship to youth Address city zip Phone Home Email address Your School/Company Youth Volunteer Information if under the age of 18 Birthday // Month Day School Phone Cell if any Email address Skills e*g* art music web design office I agree myself or my child ren to participate in the activities in OSF and fulfill the vision of OSF* Myself or my child ren may be videotaped audio taped and/or photographed* Therefore I give my permission and hereby release and discharge OSF from any and all claims for libel or invasion of privacy. I agree that OSF shall not be liable for any loss damage injury loss of life claim directly or indirectly caused by or in relation to any services provided by or for OSF including without limitation the members of its board staff volunteers affiliates and agents. I claim that I or my child ren do does not currently receive services from Special Education IEP Section 504 Resource Specialist nor have mental and/or emotional disturbance. Name Relationship to youth Address city zip Phone Home Email address Your School/Company Youth Volunteer Information if under the age of 18 Birthday // Month Day School Phone Cell if any Email address Skills e*g* art music web design office I agree myself or my child ren to participate in the activities in OSF and fulfill the vision of OSF* Myself or my child ren may be videotaped audio taped and/or photographed* Therefore I give my permission and hereby release and discharge OSF from any and all claims for libel or invasion of privacy. I agree that OSF shall not be liable for any loss damage injury loss of life claim directly or indirectly caused by or in relation to any services provided by or for OSF including without limitation the members of its board staff volunteers affiliates and agents. I agree that OSF shall not be liable for any loss damage injury loss of life claim directly or indirectly caused by or in relation to any services provided by or for OSF including without limitation the members of its board staff volunteers affiliates and agents. I claim that I or my child ren do does not currently receive services from Special Education IEP Section 504 Resource Specialist nor have mental and/or emotional disturbance. Name Relationship to youth Address city zip Phone Home Email address Your School/Company Youth Volunteer Information if under the age of 18 Birthday // Month Day School Phone Cell if any Email address Skills e*g* art music web design office I agree myself or my child ren to participate in the activities in OSF and fulfill the vision of OSF* Myself or my child ren may be videotaped audio taped and/or photographed* Therefore I give my permission and hereby release and discharge OSF from any and all claims for libel or invasion of privacy. I agree that OSF shall not be liable for any loss damage injury loss of life claim directly or indirectly caused by or in relation to any services provided by or for OSF including without limitation the members of its board staff volunteers affiliates and agents. I claim that I or my child ren do does not currently receive services from Special Education IEP Section 504 Resource Specialist nor have mental and/or emotional disturbance.