Give Back Day Registration

Event Date: Saturday, June 28
Event Schedule: 9:00 a.m. to 12:00 p.m.
Event Location: Children of Peace Catholic School (1900 W Taylor St)

We are wrapping up the school year with a Give Back Day for members of our Auxiliary Board and Teen Boards. It’s our goal to give back and spend some quality time together.

If you would like to serve as a Group Leader for this event or if you have any questions, email Megan Bouche at mbouche@bigshouldersfund.org 

Salutation

First Name

Middle Name

Last Name

Preferred Email

Alternate Email

Personal Email

Work Email

Mobile Phone (Please format ###-###-####)

I'd like to receive updates from Big Shoulders Fund!

Subscribe me to the Big Shoulders Fund E-Newsletter

Guest Information

I am bringing a guest(s)

YesNoGive Back Day registrants may bring up to four (4) guests.

Number of Guests Attending

Guest 1 Information

Certain Give Back Day projects require adult supervision. This information will help us plan activities that are age-appropriate and well-suited for the skill set of our younger volunteers!

Is Guest 1 younger than 18 years of age?

YesNo

Guest First Name #1

Guest Last Name #1

Guest Email #1

Providing a guest email address will help Big Shoulders Fund ensure all event attendees receive day-of directional information and updates.

Guest 2 Information

Certain Give Back Day projects require adult supervision. This information will help us plan activities that are age-appropriate and well-suited for the skill set of our younger volunteers!

Is Guest 2 younger than 18 years of age?

YesNo

Guest First Name #2

Guest Last Name #2

Guest Email #2

Providing a guest email address will help Big Shoulders Fund ensure all event attendees receive day-of directional information and updates.

Guest 3 Information

Certain Give Back Day projects require adult supervision. This information will help us plan activities that are age-appropriate and well-suited for the skill set of our younger volunteers!

Is Guest 3 younger than 18 years of age?

YesNo

Guest First Name #3

Guest Last Name #3

Guest Email #3

Providing a guest email address will help Big Shoulders Fund ensure all event attendees receive day-of directional information and updates.

Guest 4 Information

Certain Give Back Day projects require adult supervision. This information will help us plan activities that are age-appropriate and well-suited for the skill set of our younger volunteers!

Is Guest 4 younger than 18 years of age?

YesNo

Guest Last Name #4

Guest First Name #4

Guest Email #4

Providing a guest email address will help Big Shoulders Fund ensure all event attendees receive day-of directional information and updates.

If you plan to bring more than four guests, please email Megan Bouche at mbouche@bigshouldersfund.org.

Volunteer Dietary Restrictions

Please provide more information about any food allergies or sensitivities that might apply to any members of your group.

Food Allergies and Sensitivities?

Waiver of Liability

I hereby forever release and waive all claims and rights against Big Shoulders Fund, its members, officers, directors, employees, contractors, agents, and representatives in connection with personal injury related to attending the Event sponsored, organized, hosted or offered by Big Shoulders Fund. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen. I specifically give up my right to initiate suit against Big Shoulders Fund for any matter contemplated by this release.

Waiver of Liability

Yes, I understand and agree to the terms of the Waiver and Release of Liability for this Big Shoulders Fund volunteer event.