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Home
Volunteer
Sign Up to Volunteer
Donate Your Fruit
Other Ways to Get Involved
Existing Volunteer & Intern Portal
Events
Blog
Shop
About Us
Who We Are
Partners
Staff
Board Members
Contact Us
Other Ways to Donate
Forms
Volunteer Waiver
Volunteer Application
Internship Application
Group Volunteering Questionnaire
Work Reference Form
Fruit Donor Form
Thank You
Volunteer Waiver
Name
*
First Name
Last Name
Birthdate
*
MM
DD
YYYY
Phone
*
(###)
###
####
Email
*
Would you like to receive Iskashitaa Refugee Network emails?
Harvesting
Newsletter
Food Preservation
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Emergency Contact Email
Medical Information
-List any allergies to medicine, foods, etc. -List any history of serious illness (diabetes, asthma, epilepsy, etc.) or recent injuries or hospitalization -Date of last tetanus shot -What medications are presently being taken?
List any additional information of which the field supervisor should be aware
(If in a group list the name of the group)
Liability Waiver
Should I suffer an accident or be taken ill during a gleaning event, I give my permission for any emergency hospitalization, medication or surgery deemed appropriate by a doctor. I have been assured that safety is paramount during any gleaning, and that the adult staff of Iskashitaa will exercise all reasonable care for those involved. I know that I must bring adequate water, sunscreen, a hat and a snack. I will not hold the staff, interns or any other Iskashitaa volunteer liable in the case of accidental injury or death during any gleaning event. Nor will I hold the person(s) who owns or operates the property we glean liable for such injury or death. Gleaning photos or videos in which I appear may be used by Iskashitaa in newsletters or for promotional purposes.
I (or Parent/Guardian, if gleaner is under 18 years old) agree to these terms.
Thank you!