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Adult Volunteer Form
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(mm/dd/yyyy)
Your Contact Information
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Prefix
First Name
Last Name
Suffix
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(mm/dd/yyyy)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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First Name
Last Name
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If not actively employed, please input the following: Homemaker, Retired, Disabled, Between Jobs, Other
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Permission & Release of Liability
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I will abide by the mission, rules, regulations, policies and programs of FeedNC while I am a volunteer. FeedNC is not liable for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with the performance of my volunteer activities for FeedNC. I assume the risks of being injured in connection with my volunteer work for FeedNC. I hereby release and indemnify, defend and hold harmless FeedNC, 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 FeedNC, 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 FeedNC 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 FeedNC 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. FeedNC 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. Should you not agree to any of these terms as set forth by FeedNC, you are expected to notify the Volunteer Coordinator upon entering the premises. 

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