Adult Volunteer Registration - LT Shoppes

Volunteer's Signature	Actions

There are no Code of Conducts.

Volunteer's Signature	Actions

There are no Code of Conducts.

Volunteer Code of Conduct
I will promote the creation of a friendship community based on mutual respect and a sense of personal well-being. I will treat others with honor and respect because we are all created in the image of G-d.

As a volunteer of Friendship Circle:
- I understand that Friendship Circle expects me to behave responsibly. I agree to utilize my best judgment and sense of responsibility when spending time with the child with whom I am matched.
- I understand that the use of a cell phone during a Friendship Circle programs does not promote a healthy friendship and should only be used in case of emergency.
- I agree to respect the privacy of all participants of the Friendship Circle and to keep personal information confidential.
- I understand that once I commit to attend a program or event, the Friendship Circle staff and special friends expect me to be there. I agree to attend and give it my best effort. In the event that I cannot attend, I agree to give notice to Friendship Circle staff and the parents of my special friend sufficiently in advance.
- If someone gets hurt or some other incident occurs while I am volunteering, it is my responsibility to immediately report the occurrence to Friendship Circle staff.
- I agree to represent the Friendship Circle to the best of my abilities.
- I have carefully read and agree to abide and be bound by all the rules above as well as any additional rules pertinent to specific events, including the Commitment to Everyone’s Safety and Well Being.
- I grant Friendship Circle permission to use my name, image, likeness, or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts.
I agree to volunteer for Friendship Circle. I understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and agree to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct as set forth above as well as any additional rules pertinent to specific events. I understand that this local Friendship Circle is independently owned, operated and controlled. I release LifeTown, Friendship Circle and Chabad of Livingston and its employees, directors, officers, contractors and volunteers from any and all claims or liability arising out of this participation.
Volunteer's Commitment to Everyone's Safety and Well-Being
Friendship Circle provides very special and unique opportunities for volunteers, special friends and their families to enrich the lives of each other. In doing so, most participants will encounter new and sometimes challenging situations. Thus, it is imperative to set expectations at the beginning so that volunteers, special friends, and parents understand what they can expect. Therefore, volunteers, special friends, and their respective families each certify and agree to the following by signing below that I:
- Understand that participation in this activity is entirely voluntary and requires everyone to abide by applicable rules and standards of conduct;
- Understand that I may be in the company of people with various degrees of social, development, and communication challenges. I understand that if there is ever a situation that I feel uncomfortable, it is my right and responsibility to report the occurrence to the Program Director or Group Leader.
- Understand that photographs can be private and sensitive and should not be shared by all.
- Understand that if a Friendship Circle Child needs help in the bathroom, it is my job to notify their parent or the Friendship Circle staff and have them guide me in the proper protocol.
- Do not use or possess any illegal drug, alcohol or controlled substances at any time, including at Friendship Circle events or programs;
- Do not have any alcohol or tobacco products at Friendship Circle events or programs;
- Do not bring any weapons, firearms or other dangerous items to any Friendship Circle event or program;
- Agree to have a background check performed on me, or if I am under 18, a reference check;
- Understand that participation in Friendship Circle activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent for me and/or my child to participate in this activity and knowingly and freely assume all such risks;
- Will not participate in any activity that I believe I and/or my child cannot perform in accordance with the Friendship Circles activities’ instructions or in a safe manner;
- If I observe any significant hazard during my or my child’s participation in any event or program, I will stop and/or have my child stop participating in the event and inform the Friendship Circle of such hazard immediately;
- If I am participating in Friends@Home, agree to abide by and perform everything stated in the Handbook in its entirety.
- Agree Friendship Circle is not responsible for any damages to personal property or injury in which the Friendship Circle had no knowledge of the particular hazard or any activity outside of Friendship Circle sponsored events;
- Acknowledge that Friendship Circle is an independently owned, operated and controlled local corporation.
- Release LifeTown, Friendship Circle and Chabad of Livingston, the directors, board, officers, activity coordinators, and all employees, volunteers, related parties, and contractors from any and all claims or liability arising out of this participation;
- Agree that in case of emergency involving my child, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the medical provider selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge examination findings, test results, and treatment provided for purposes of medical evaluation of the participant, follow-up and communication with the participant’s parents or guardian, and/or determination of the participant’s ability to continue in the program activities.
Signature
Full Name of Volunteer*
First Last
Under 18
- Volunteer is under the age of 18
Volunteer's Signature*
If the volunteer is under the age of 18, the signature of a parent or guardian signature is necessary, please sign below:
Full Name of Parent/Guardian*
First Last
Parent/Guardian Signature*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Volunteer's Code of Conduct
I will promote the creation of a friendship community based on mutual respect and a sense of personal well-being. I will treat others with honor and respect.

As a volunteer at LifeTown:
- I understand that LifeTown expects me to behave responsibly. I agree to utilize my best judgment and sense of responsibility when volunteering at LifeTown.
- I understand that the use of a cell phone during LifeTown programs does not promote a healthy environment and should only be used in case of emergency.
- I agree to respect the privacy of all participants at LifeTown and to keep personal information confidential.
- I understand that once I commit to attend a program or event, LifeTown staff and special friends expect me to be there. In the event that I cannot attend, I agree to give ample notice to LifeTown staff.
- If someone gets hurt or some other incident occurs while I am volunteering, it is my responsibility to immediately report the occurrence to the LifeTown Program Director .
- I agree to represent LifeTown to the best of my abilities.
- I grant Friendship Circle permission to use my name, image, likeness, or recording in connection with any promotional materials including, but not limited to, brochures, advertising, and broadcasts.
- I have carefully read and agree to abide and be bound by all the rules above as well as any additional rules pertinent to specific events, including the Commitment to Everyone’s Safety and Well Being.
I agree to volunteer for LifeTown. I understand that participation in LifeTown activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and agree to participate in this activity. I also understand that participation in this activity is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release LifeTown, Friendship Circle and Chabad of Livingston and its employees, directors, officers, contractors and volunteers from any and all claims or liability arising out of this participation.
Volunteer's Commitment to Everyone's Safety and Well-Being
LifeTown provides very special and unique opportunities for volunteers, special friends and their families to enrich the lives of each other. In doing so, most participants will encounter new and sometimes challenging situations. Thus, it is imperative to set expectations at the beginning so that volunteers, special friends, and parents understand what they can expect. Therefore, volunteers, special friends, and their respective families each certify and agree to the following by signing below that I:
- Understand that participation in this activity is entirely voluntary and requires everyone to abide by applicable rules and standards of conduct;
- Understand that I may be in the company of people with various degrees of social, development, and communication challenges. I understand that if there is ever a situation that I feel uncomfortable, it is my right and responsibility to report the occurrence to the Program Director or Group Leader.
- Understand that photographs can be private and sensitive and should not be shared.
- Understand that if a LifeTown participant needs help in the bathroom, it is my job to notify their parent or LifeTown staff and have them guide me in the proper protocol.
- Do not use or possess any illegal drug, alcohol or controlled substances at any time, including at LifeTown events or programs;
- Do not have any alcohol or tobacco products at LifeTown events or programs;
- Do not bring any weapons, firearms or other dangerous items to any LifeTown event or program;
- Agree to have a background check performed on me if 18 or over;
- Understand that participation in LifeTown activities involves a certain degree of risk and can be physically, mentally, and emotionally demanding. I have carefully considered the risk involved and have given consent to participate in this activity and knowingly and freely assume all such risks;
- Will not participate in any activity that I believe I cannot perform in accordance with LifeTown activities’ instructions or in a safe manner;
- If I observe any significant hazard during my participation in any event or program, I will stop participating in the event and inform LifeTown of such hazard immediately;
- Agree LifeTown is not responsible for any damages to personal property or injury in which LifeTown had no knowledge of the particular hazard or any activity outside of LifeTown sponsored events;
- Acknowledge that LifeTown is an independently owned, operated and controlled local corporation.
- Release LifeTown, Friendship Circle and Chabad of Livingston, the directors, board, officers, activity coordinators, and all employees, volunteers, related parties, and contractors from any and all claims or liability arising out of this participation;
Signature
Full Name of Volunteer*
First Last
Volunteer's Signature*
Email*
Phone*
Address
Street Address Address Line 2 City State ZIP Code

Adult Volunteer Registration – LT Shoppes

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Volunteer Code of Conduct

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Volunteer's Code of Conduct

Volunteer's Commitment to Everyone's Safety and Well-Being

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