Leia's Kids Volunteer Application
Hello! Thank you so much in your interest in volunteering with Leia's Kids! We are so grateful to have your help  in serving the pediatric community. Please answer the following questions to the best of your ability. these questions will help us best place you, if you are interested. 

If you have any questions please reach out to info@leiaskids.org and we can help you. 

Thank you, 
Leia's Kids Team 
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First and Last Name *
Email *
Cell Phone *
Social Media 
What areas of volunteering are you interested in? Please check all that interest you! *
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If you selected 'other' please specify your volunteer interests below. 
Please let us know how you would like to be apart of the Leia's Kids Foundation? *
Help us learn more about you. *
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If you selected 'other' please specify your volunteer interests below. 
Please let us know if you have any questions or concerns!

By checking this box, I give my permission for Leia's Kids Foundation and/or its representatives to use artwork, photographs and/or letters/the story that I provide of my child, my family, and/or myself in publications, slides, videotapes, motion pictures and/or on the Internet. In addition, I hereby give my permission for Leia's Kids and/or its representatives to photograph, audio tape record, and/or videotape my child or myself and to use our names, these images or voice recordings in publications, slides, videotapes, motion pictures and/or on the internet. I understand these visual images or voice recordings may be used to inform families, volunteers, donors, the media and general public about Leia's Kids programs, services or events. I gladly give this authorization to support the efforts of Leia's Kids. I understand this authorization shall continue until terminated in writing. Providing consent is not a requirement in order to participate in Leia's Kids programs.


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By checking the box, I give permission to be contacted about Leia's Kids by SMS text at my residential or cellular number or provided email address, dialed manually or by autodialer (consent to be contacted is not a condition to participate) and to be contacted via email. I consent to be contacted even if my phone number or email address appears on a Leia's Kids Do Not Call / Do Not Email List, a State or National Do Not Call Registry, or any other Do Not Contact List.
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