Youth Volunteer Corps in Kansas City
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2020 Summer Youth Volunteer ​Profile and Waiver Form.

Before registering for a project, all youth volunteers MUST first complete a 2020 Summer Youth Volunteer Profile and Waiver. A youth who attends a YVC project without a waiver will not be permitted to serve. Volunteers only need to complete one waiver, regardless of the number of projects they are signed up for. If you sign up multiple volunteers, you will need to complete a waiver for each volunteer. You DO NOT need to fill out another profile/waiver form if you have already completed on this year. 
I have already completed a 2020 waiver

    Youth Volunteer Profile and Waiver

    THIS IS A LEGAL DOCUMENT. PLEASE READ CAREFULLY.
    ​Please note, this information is kept confidential and is collected for anonymous grant reporting and program improvement purposes only.
    For Volunteers:
    First Name                     Last Name

    For Parents/Guardians:

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    This information assists us in receiving funding to cover scholarships.  This information is kept CONFIDENTIAL.
    • Qualifies for free or reduced school lunch, or enrolled in a school where the majority of students are eligible for free or reduced lunch
    • Completing court-ordered service or is a former juvenile offender
    • Living with a disability
    • Not currently enrolled in school
    • At risk to leave high school without graduating
    • In or aging out of foster care
    • Has limited English proficiency
    • Homeless or has run away from home​
    Risk Disclosure: I understand that adult supervisors will accompany my child on all projects and activities. I also understand that the supervisors may be volunteers and that the project or activity will involve the normal level of risk associated with such a project or activity. I agree that this form shall waive any rights, claims of responsibility or liability, or cause of action resulting from personal injury to my child in the YVC program and agree to indemnify the partner agency and its employees or representatives from any such claims.

    Medical Care Authorization: At any time due to such circumstances as accident or sudden illness I hereby give permission for emergency medical treatment to be obtained for my child. I understand that a YVC representative or the partner agency will call me prior to leaving or upon arrival at the emergency destination, and that I will be responsible for all related expenses incurred (i.e. ambulance or taxi costs, etc.).

    Media/Transportation Release: Your signature on this release grants permission to use your child’s name, photograph, video, audio recording, and/or quote by Youth Volunteer Corps or any of its related agencies for marketing and other official purposes. I authorize YVC and/or partner agency staff to transport my child in their vehicles if needed.

    Parent/Legal Guardian Responsibility: I will inform YVC of any special need or condition my child has. I understand withholding this information is unfair to my child and to the YVC leader entrusted with my child's safety. I will be punctual when dropping off/picking up my child from projects, both for his/her safety and as a courtesy to YVC and its partner agencies. I understand that violating these policies may lead to my child's exclusion from YVC programs.

    ​

     Youth Agreement
    Youth volunteer agrees:
    • To be on time and work all scheduled project hours OR notify YVC in advance if you cannot.
    • To maintain a positive attitude and show respect to everyone at the project.
    • To attend any required orientation and training and to participate in all project activities, including games.
    • To abstain from profanity, drugs, tobacco, alcohol, sexual activity or violence of any form on projects.
    • To keep all personal electronic devices off and out of sight during YVC activities.
    YVC agrees:
    • To treat the youth volunteer with respect.
    • To provide the youth volunteer with appropriate duties that match his or her experience and interests when possible.
    • To provide trained, screened adult team leaders to guide and assist the youth volunteer on projects.
    • To provide orientation, training, and evaluation for the youth volunteer as needed.
    • To recognize the efforts of the youth volunteer and provide confirmation of service hours upon request.​
    By checking the box you acknowledge that you have read and understand this waiver, agree to its provisions, affirm that you are the parent/legal guardian of the child named above, and verify all the information you have given is correct.
Submit

Address

YVCKC • 1025 Jefferson Street, Kansas City, MO 64105

Telephone

816.384.3822  ​

Email

kansascity@yvc.org



Terms of Use
HOURS OF OPERATION
Monday-Friday 
8:30am-4:30pm
  • Home
  • About YVC
    • Our Team
    • FAQ
  • Volunteer
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