NiHao Membership Form

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NiHao Membership Form

Welcome to join in NiHao! The purpose of this form is to gather volunteer membership information for our membership management. Thank you for your support!

Email *

First Name *

Middle Name

Last Name *

Birth Date *

YYYY

Gender *

Male

Female

Street Address *

City *

State *

Zip code *

Email *

Phone Number *

Emergency contact person's name *

Emergency contact's relationship to member *

Parent/Guardian

Sibling

Friend

Other:

Emergency contact person's phone # *

Membership Level *

Ambassador Member: I pledge a gift of $300 paid with the signed form

Silver Member: I pledge a gift of $3,000 paid over 3 consecutive years.

Gold Member: I pledge a gift of $10,000 paid over 3 consecutive years.

Platinum Member: I pledge a gift of $20,000 paid over 3 consecutive years.

Business Partner: I pledge a gift of $50,000 paid over 3 consecutive years.

For NiHao members younger than 18 years old, please provide the following information:

The following five questions are required for the members younger than 18 years old.

School Name

Guardian's Name

Guardian's Phone Number

Guardian's Email Address

Guardian's or Your WeChat Name *

Volunteer Liability Waiver and Agreement

All volunteers participating in a NiHao Food Bank Initiative Event are required to read the liability policies and submit a digitally signed consent form using the online form below.

As a volunteer, I release and hold harmless NiHao Food Bank Initiative, including its the organizers, doners, promoters, volunteers, and anyone who works with NiHao Food Bank Initiative, as well as North Texas Food Bank or any other food bank organizations and their employees and agents (each a “Nihao Participant”), from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this volunteer event, whether or not resulting from any negligence of any Nihao Participant.

I further acknowledge that I am fully aware of all potential risks associated with the volunteer activities and that I have no medical condition that prevents me from engaging in such activities.

I also give permission to be photographed by NiHao Participant or anyone they invite for use in any form and occasion related to the mission of NiHao Food Bank Initiative.

Member's Full Name *

I accept all the terms outlined in this Membership Form
*

Yes

Required

I am younger than 18 years of age. My parent or guardian will digitally sign below.

Yes

Clear selection

Guardian's Full Name

Today's date *

YYYY

Send me a copy of my responses.

Submit

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