Women Build Waiver of Liability/Volunteer Skills & Information F This form is in 4 sections: Your contact information. YOU MUST RE-ENTER THE EMAIL ADDRESS YOU USED TO CREATE YOUR ACCOUNT ON THE PREVIOUS SCREEN. Waiver of Liability. YOUTH LIABILITY: If you are under 18 years of age you must download, print and have your parents sign our youth liability waiver. Your volunteer interests. Please check all that apply. Your volunteer skills. Please select your level of experience for each skill. Prefix * Mrs. Ms. Mr. Dr. Miss Mr. and Mrs. Fr. Rev. Bishop Chief Commander Msgr. Pastor Sheriff Sr. Hon. Rabbi COL. and Mrs. Drs. Dr. and Mrs. COL First Name * Last Name Street Address (Primary) * City (Primary) State (Primary) - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code (Primary) County Phone Gender - select Gender - Female Male Do not wish to self identify T-Shirt Sizes Small Medium Large X-Large XXL Are You 18 Yrs of Age or Older? Yes No I Agree Yes No Today's Date: Religious Affiliation Thrivent Member Lutheran Catholic Methodist Baptist Non Denominational Jewish Other Unaffiliated Do not wish to disclose Health Insurance Company Please list any medical conditionshigh/low blood pressureallergy to insect biteback problemsother allergiesheart conditionasthmadiabeticallergy to medicationepilepsy Emergency Contact Name Emergency Contact Phone Emergency Contact Relationship Are you volunteering as an individual or as part of a group? Individual Group Which group? Save Cancel
