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Child Volunteer Form
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(mm/dd/yyyy)
Parent/ Legal Guardian Information
This form is to be filled out by parent or legal guardian along with young volunteer.
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I give permission for the following child/children to participate in the Mooresville Soup Kitchen's activities:
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Child's Information
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First Name
Last Name
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(mm/dd/yyyy)
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Emergency Contact
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First Name
Last Name
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Permission & Release of Liability
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My child/children will abide by the mission, rules, regulations, policies and programs of the Mooresvilles Soup Kitchen while I am a volunteer. I assume the risks of my child/children being injured in connection with my volunteer work for the Mooresville Soup Kitchen. The Mooresville Soup Kitchen is not liable for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which my child/children might suffer or sustain in connection with the performance of their volunteer activities for the Mooresville Soup Kitchen. I hereby release and indemnify, defend and hold harmless the Mooresville Soup Kitchen, its directors, officers, employees, agents, and volunteers and their heirs, successors, assigns personal representatives from and against liability. I have accurately and truthfully completed this volunteer application.
Photo Release

I hereby authorize the Mooresville Soup Kitchen to record in photographs, on film, CD, DVD, digital video, video, or audio tape, and to otherwise use my name, likeness, image, voice, interview, and/or performance on an unlimited basis in all media now known or hereafter devised. I understand there is no charge or compensation for this use. I also agree that the Mooresville Soup Kitchen may authorize others to use any photograph or recording or any part thereof. I release all claims for copyright ownership or compensation. I additionally authorize the Mooresville Soup Kitchen to my name, likeness, voice, performance, and/or biography for publicity or promotion at no charge and without compensation in any manner for any such use. This use is granted on an unlimited basis in all media now known or hereafter devised. Mooresville Soup Kitchen may use my image, likeness, voice, or performance without any prior approval or inspection of the finished product by me. I understand my participation is strictly voluntary, and I participate freely. I understand I am not required to give this permission. 

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