Volunteer Registration & Waiver Thank you for your support – please complete all fields and sign below. First Name * Last Name * Email Address * Phone Number * Company / Organization (Optional) Emergency Contact Name * Relationship * Phone * Alternate Phone Are you physically able to assist with lifting items that are 15-20 kgs? * Yes No Do you have any health or medical concerns we should be aware of? Yes No Areas of Interest Media & Communications Culture & Languages Administration Education Social Justice International Development Women's Rights Human Resources Community Business Fundraising & Events No preference Other I would like to be contacted to hear about or assist with special events or other volunteer opportunities. Certification & Media Consent I certify that all the above information is true and correct to the best of my knowledge, and no intentional omission was made. I understand that false or misleading information may result in termination of my volunteer status. I consent to ANIDA using my image, likeness, and interview statements in publications, advertising, and media activities (including internet) without compensation, in perpetuity. 📄 View PDF Social Media Handle (optional) Confidentiality Agreement I acknowledge and agree to uphold all elements of the confidentiality agreement as described in the volunteer waiver. 📄 View PDF Health & Safety Acknowledgement I have read and understand the Health & Safety Guidelines (proper lifting, utility knife use, PPE, COVID precautions). 📄 View PDF Are you 18 years of age or older? (Optional – for our records) Yes, I am 18 or older No, I am under 18 Prefer not to say This helps us understand our volunteer demographics and plan age-appropriate activities. Signature Please sign below using your mouse or finger. Clear Undo Submit Volunteer Registration
