Adult Volunteer Form Volunteer Name* First Last Volunteer Phone Number*Volunteer Email* Volunteer must be 21 or older. I am 21 or older.*-- Choose One --YesNoPlace of Employment* I have had a background check in the past year?*YesNoI have had CPR Training?*YesNoHow Did You Hear About Us?*-- Choose One --Social MediaFriendSchoolOtherPlease Check all Interests* Charity Golf Tournament Kind Camp Big Buddy (College Student or Adult) Kind Camp Week 1 Kind Camp Week 2 Other Events Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code K2K Volunteer T-Shirts Quantity* Price: $35.00 Quantity *Required if volunteering for Kind Camp and Community Service Projects; All payments made to Keys To Kindness are non-refundable. Volunteers who signed up for Kind Camp will receive their shirts during the volunteer training or on the first day of Kind Camp. Processing Fee Price: $0.00 Total $0.00 T-Shirt Sizes* Select All Youth XS Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large Credit Card*Card Details Cardholder Name Total $0.00 All purchases made through Keys to Kindness are non-refundable. Whether it be t-shirts, Kind Camp, or any other item. Should you need to cancel your attendance to an event or one of our camps, upon request we can look into applying your purchase towards another event or camp. I hereby release and hold harmless Keys To Kindness, Inc. their board and their agents and all liability in connection with injury (including any injury to be caused by my negligence and in conjunction with any event with Keys To Kindness, Inc. I understand that my volunteer status is pending satisfactory results of a background investigation, satisfactory proof of identity, as well as training. Hereby I authorize Keys To Kindness to make any investigation of my background deemed necessary. I agree to conform to the rules, regulations, and policies and attend the mandatory training with Keys To Kindness, Inc.Certification of accurate information:* I certify that all answers or statements I have made on this application or other supplementary materials are true and correct without omissions. I acknowledge that any false statements or misrepresentations on this application or other supplemental material, not abiding by rules, regulations, and policies, will be cause for dismissal from volunteering with Keys To Kindness. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury, or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. Adult Signature*