Single Volunteers of Austin Registration Form

By submitting this form I certify that I have read and do understand all terms contained within the Single Volunteers of Austin Volunteer Agreement:

Single Volunteers of Austin Membership Agreement:

I apply to participate in programs and activities sponsored by Single Volunteers Austin (hereinafter "SVA").  I understand that SVA is a non-profit organization that performs services for charities, community organizations and other non-profit groups, for which costs may be charged but which do not involve any profit or compensation to SVA.  I agree that SVA and the organizations for whom it is performing services, their agents, officers, and directors shall not be liable for any injury that may incur while participating, and I release and agree to hold harmless and defend them from any claim that I or anyone may have arising from my participation.  I understand that some activities may expose me to above normal risk, and I confirm that if I choose to participate in these activities that I have no health or physical problems that will interfere with my safety or health.  I further assign to SVA and consent to its unrestricted use and publication in any media of any photograph, recording, interview, videotape or other recording of me in connection with any activities in which I may participate with SVA.

I hereby release Single Volunteers Austin and its administrators, team leaders, organizers, volunteers and any other person or persons acting on behalf of SVA from any claims arising from my volunteer work with SVA.

I also agree that SVA holds no responsibility for the outcome of any relationship that may or may not form between myself and another person that I might meet through SVA.  In accepting a date or otherwise agreeing to meet with another member, either within an SVA-sponsored volunteer project or social event, or independent of them, I take sole responsibility for any actions that may occur during that date or meeting, and agree to hold SVA free from any liability.  I agree not to initiate any claim against SVA resulting from either volunteer, social or dating activities.

Please register here and we'll know how to contact you to keep you informed about our events and meetings. We will not be selling, sharing or distributing your information anywhere.                   (**) = Required information

Name (**) First Name           Last Name
   
Your Gender (**)
Street Address
City/State/ZIP (**)      
Home Phone (**)
Email Address (**)
Re-Enter
Email Address (**)

We will not be sharing or distributing your age within or outside the group.
This data is used only for statistical purposes.

Birthdate (**) Month:  Day:  Year:
Organizations

Organizations or special topic you already know you would like to work with.

Skills

What specific skills do you have that our group may need?

How did you hear of our group?

Work/Business information 

Company
Job Title
Business Address

Street

City                       State    ZIP
  

Business Phone

 

Single Volunteers of Austin
June 14, 2006