Our Story

Consent Form

Volunteer Consent Form

Volunteer Information

Full Name: ______________________________________

Date of Birth (if under 18): ______________________

Address: ________________________________________

Phone Number: ___________________________________

Email Address: ___________________________________

Emergency Contact Name: __________________________

Emergency Contact Phone: _________________________

Volunteer Consent and Agreement

I voluntarily agree to participate as a volunteer with Jeromes Promise INC for the First gathering Event.

I understand and acknowledge that:

My participation is voluntary, and I may withdraw at any time by notifying the organization.
I understand the nature of the volunteer activities and agree to follow all instructions, policies, and safety procedures provided by the organization.
I certify that I am physically and mentally able to participate in the volunteer activities or will inform the organization of any relevant limitations.
I understand that volunteering may involve certain risks, including but not limited to minor injuries, accidents, weather-related hazards, or other unforeseen circumstances.
I accept responsibility for participating in these activities and will exercise reasonable care for my own safety and the safety of others.
In the event of a medical emergency, I authorize the organization to seek appropriate medical treatment if I cannot be reached or am unable to provide consent.
I understand that, unless otherwise agreed in writing, my volunteer service is unpaid and does not create an employment relationship.
I agree to respect the privacy, dignity, and confidentiality of participants, staff, and fellow volunteers as required by the organization.

Photo and Media Consent

☐ Yes, I give permission for Jeromes Promise INC to use photographs, videos, or audio recordings of me for educational, promotional, or public communication purposes.

☐ No, I do not give permission for my image or recordings to be used.

Medical Information (Optional)

Allergies/Medical Conditions:

Medications or Special Requirements:

Acknowledgment

I have read and understood this consent form. I have had the opportunity to ask questions, and I voluntarily agree to participate as a volunteer.

Volunteer Signature: _______________________________

Printed Name: ____________________________________

Date: ____________________________________________

Parent/Guardian Consent (For Volunteers Under 18)

I am the parent/legal guardian of the above-named volunteer. I have read this consent form, understand its contents, and give permission for my child to participate.

Parent/Guardian Name: _____________________________

Relationship: ____________________________________

Signature: _______________________________________

Phone Number: ___________________________________

Date: ____________________________________________

Organization Representative

Name: ___________________________________________

Title: ___________________________________________

Signature: _______________________________________

Date: ____________________________________________

Our Story

Volunteer Consent Form

Volunteer Information

Full Name: ______________________________________

Date of Birth (if under 18): ______________________

Address: ________________________________________

Phone Number: ___________________________________

Email Address: ___________________________________

Emergency Contact Name: __________________________

Emergency Contact Phone: _________________________

Volunteer Consent and Agreement

**I voluntarily agree to participate as a volunteer with Jeromes Promise INC for the **First gathering Event.

I understand and acknowledge that:

My participation is voluntary, and I may withdraw at any time by notifying the organization.

I understand the nature of the volunteer activities and agree to follow all instructions, policies, and safety procedures provided by the organization.

I certify that I am physically and mentally able to participate in the volunteer activities or will inform the organization of any relevant limitations.

I understand that volunteering may involve certain risks, including but not limited to minor injuries, accidents, weather-related hazards, or other unforeseen circumstances.

I accept responsibility for participating in these activities and will exercise reasonable care for my own safety and the safety of others.

In the event of a medical emergency, I authorize the organization to seek appropriate medical treatment if I cannot be reached or am unable to provide consent.

I understand that, unless otherwise agreed in writing, my volunteer service is unpaid and does not create an employment relationship.

I agree to respect the privacy, dignity, and confidentiality of participants, staff, and fellow volunteers as required by the organization.

Photo and Media Consent

☐ Yes**, I give permission for Jeromes Promise INC to use photographs, videos, or audio recordings of me for educational, promotional, or public communication purposes.**

☐ No, I do not give permission for my image or recordings to be used.

Medical Information (Optional)

Allergies/Medical Conditions:

Medications or Special Requirements:

Acknowledgment

I have read and understood this consent form. I have had the opportunity to ask questions, and I voluntarily agree to participate as a volunteer.

Volunteer Signature: _______________________________

Printed Name: ____________________________________

Date: ____________________________________________

Parent/Guardian Consent (For Volunteers Under 18)

I am the parent/legal guardian of the above-named volunteer. I have read this consent form, understand its contents, and give permission for my child to participate.

Parent/Guardian Name: _____________________________

Relationship: ____________________________________

Signature: _______________________________________

Phone Number: ___________________________________

Date: ____________________________________________

Organization Representative

Name: ___________________________________________

Title: ___________________________________________

Signature: _______________________________________

Date: ____________________________________________

I voluntarily agree to participate as a volunteer with Jeromes Promise INC for the First gathering Event.

☐ Yes, I give permission for Jeromes Promise INC to use photographs, videos, or audio recordings of me for educational, promotional, or public communication purposes.