Rootead Cultivator Form

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Rootead Cultivator Form

We refer to our volunteers as "cultivators" because they aid us in growing our mission of 'reclaiming the village. through cultural liberation by holding spaces for internal transformation, healing arts and birthing justice.'

Please complete the form below, and we will add you to our list of cultivators. If you have any questions, please email coco@rootead.org. Thank you!

What is your first and last name? *

What are your pronouns? (Example: she/her, he/him, they/them, etc.) *

Please enter the best way to contact you. (Example: full email address, or telephone number). *

Are you 18 years old, or older? *

Yes

Which branch are you interested in helping with? *

Birth Justice (Ex: Doula collective)

Community Healing (Ex: Black & Brown Therapy Collective, Radicle, Drum Circle)

Youth Enrichment (Ex: Rootead Youth Drum & Dance Ensemble, Rootead in Youth)

No preference.

What type of volunteer work are you interested in? *

Special Event Support (Ex: Juneteenth, Art Hops, etc.)

Tabling Support (Ex: Tabling at youth fairs, community events & festivals)

Marketing Support (Ex: Posting flyers around town & sharing events via social media)

Programming Support (Ex: Assisting with dance & drum classes, helping set up & tear down)

Facilities Support (Ex: Small repair projects, helping hang artwork, etc.)

Required

How often are you interested in volunteering? *

All bodies and abilities are welcome. Please let us know if you need special accommodations to volunteer. *

Do you have any questions? *

Waiver: I release and forever discharge and hold harmless Rootead Enrichment Center and its successors and assigns from any and all liability, claims,and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the activities as a Volunteer with Rootead Enrichment Center, including claims arising out of negligence. *

I understand.

Required

Photo Release: 1) I authorize Rootead Enrichment Center to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions). 2.) I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by Rootead Enrichment Center (I understand that I may be identifiable from such photographic or electronic reproduction) *

I understand.

Required

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