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Volunteer Registration Form

Tuesday, March 28, 2017

CONTACT INFORMATION

Email will be used to keep you updated on important event details and reminders.

Name:*

Email:*

Phone (Cell):*

Phone (Home):

Organization (if applicable):

Address:*

City/Town:*

State:*

Zip Code:*

VOLUNTEER JOB PREFERENCES

We seek volunteers who are available from 4:00 PM to 10:00 PM on Tuesday, March 28, 2017. Please check all boxes that interest you. Your preferences will be strongly considered; however in order to best serve our guests and the needs of the event, your preferences cannot be guaranteed.

DO YOU PLAN TO DRIVE TO THE EVENT ON TUESDAY, MARCH 28?

Volunteers are encouraged to take public transportation. If you must drive, notice must be given to workingwonders@tuftsmedicalcenter.org.

No, I will take public transportation (encouraged)

Yes, I need to drive and park at the event

HOW DID YOU HEAR ABOUT WORKING WONDERS?

IS THERE ANYTHING WE SHOULD KNOW ABOUT YOUR VOLUNTEER CAPABILITIES OR LIMITATIONS? ANY FOOD ALLERGIES?

VOLUNTEER WAIVER

I, hereby for myself, my heirs, executors and administrators, waive and release any and all rights to claims for damages I may have against Working Wonders, Tufts Medical Center and Floating Hospital for Children, Liz Page Associates, Blackstone Productions, Boston Convention & Exhibition Center, Massachusetts Convention Center Authority, Levy Restaurants, volunteers, sponsors, coordinating groups and any individuals and vendors associated with the event, their representatives, successors and assigns, and will hold them harmless for any and all injuries suffered in connection with this event. Further, I hereby grant full permission to any and all of the foregoing to use my likeness in all media including photographs, recordings or any other record of this event for any legitimate purpose. Unsigned forms will not be accepted.

Electronic Signature*

Date*

Contact Lauren Tedeschi at 617-636-8974 or workingwonders@tuftsmedicalcenter.org with questions or for more information.