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Aunt Dot's Place Volunteer Registration 17+
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Email
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Your email
Name:
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Your answer
Address:
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Your answer
Phone Number
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Your answer
Position Desired (Check all that apply)
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Customer Service
Shift Prep
Special Events
Other:
Required
Availability
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Regular
Intermittent
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Availability Continued
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Morning
Afternoon
Evening
Other/Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Other/Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Relevant Experience/Notes
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Emergency Contact Name and Relationship
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Your answer
Emergency Contact Phone
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Your answer
By checking the box below, you are consenting to the use of your electronic signature. You have the right to request that you sign a paper copy instead of your electronic signature by emailing your request to
auntdotsplace@gmail.com
. By checking the box, you waive that right. You may request a paper copy of an electronic record that you have signed through a written request. Your agreement to use an electronic signature will last until you notify us in writing that you no longer wish to use electronic signature.
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I consent to the use of my electronic signature as outlined in the above text.
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By checking the box below, you are agreeing to receive emails from
auntdotsplace@gmail.com
and signup.com (on behalf of Aunt Dot’s Place
)
. If, at any time, you would like to stop receiving emails from Aunt Dot's Place, please email your request to auntdotsplace@gmail.com
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I consent to receive emails from
auntdotsplace.com
and
signup.com
as outlined above.
By typing your name below, you are using your electronic signature to confirm that you have read and agree to abide by the Aunt Dot’s Place
Confidentiality Agreement.
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Your answer
By typing your name, you are using your electronic signature to confirm that you have read and agree to Aunt Dot’s Place
Waiver and Release of Liability
.
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Your answer
By typing your name, you are using your electronic signature to confirm that you have read and agree to Aunt Dot’s Place
Photo Release
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A copy of your responses will be emailed to the address you provided.
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