Marysville Safety Town Youth Volunteer Sign Up
Marysville Safety Town 2022 Volunteer Sign Up and Emergency Medical/Liability Form
Marysville Safety Town will be held at Navin Elementary, 16265 Co Hwy 132, Marysville, OH 43040

Safety Town is a fun four-day safety awareness program that is designed for children entering kindergarten. Through the use of music, crafts, videos, books, community speakers and a child-sized town, the children are taught basic safety lessons that they will use for the rest of their lives. Every day the children face new challenges as they learn the proper way to cross the street, buckle their seat belt, wear a helmet while riding a bicycle, and understand basic traffic rules.

Volunteer Description
As a Classroom Assistant for Safety Town, you will assist the classroom leader in supervising a group of pre-school aged children and reinforcing the safety lessons they learn throughout the week. As a Classroom Assistant you will work with the same group of children each day. At the start of the day, you will meet with your group in your assigned classroom. Next, you will follow a schedule for the day which may involve presentations from police officers or firefighters; assisting with a safety-related craft; touring the fire department and practicing pedestrian safety in a child-sized town.
For more details or a full description of the volunteer position/requirements, please visit https://uchdclinic.org/safety-town/

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Email *
First Name: *
Last Name: *
Phone: *
Email: *
Address: *
City: *
State: *
Zip Code: *
Grade attending Fall 2021
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School currently attending:
Which session(s) are you able to assist with? Note Safety Town is Monday June 6—Thursday June 9, 2022.
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T-shirt size
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I would like to be a Classroom Assistant at Safety Town because:
Safety Town is a program for 4 and 5 year olds. Please list any experience you have working with young children (experience is not required).
Do you have any potential scheduling conflicts that could prevent you from being present for each day of the program or the orientation? If so, please list.
Parent/legal guardian full name: *
Parent Phone : *
Additional Paperwork is Required
There are additional releases required for your volunteer participation such as a authorization for Emergency Medical Treatment, permission to leave Navin Elementary for fire day, liability waiver, and photo release. The release document and emergency contact information will be emailed to you following the submission of this form and will be required to be signed by a legal guardian or yourself (if you are 18 or older) and returned at the Volunteer Meeting.
Mandatory Volunteer Meeting: There will be a volunteer meeting on Tuesday, May 24 at 5p. Meeting information will be sent to you via email following the submission of this form. Please initial below to confirm you are aware of the volunteer meeting. If you are unable to attend, you will communicate with Noel Williams, Safety Town Coordinator for a make up session.
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