CTMS Parent/Guardian Volunteer Agreement/Sign-up, 2018-2019

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Please complete one form for each parent/guardian who is volunteering. Thank you!

First Name of Parent/Guardian *

Last Name of Parent/Guardian *

Address1 *

Address2

City *

State *

Zip Code *

E-mail *

Phone Number *

Cell Phone

Person to Contact in the Event of an Emergency *

(First and Last Name)

Phone Number of Emergency Contact *

I have read and agree to the contents of the Parent Volunteer Manual. *

Please type your first and last name to digitally indicate your agreement.

Statement of Assurance for Volunteers

As a volunteer in the Clinton Township School District, I hereby acknowledge that I have read and understood Board Policy and Regulations #1200, Participation By The Public, and that I will abide by said policy. I understand that any information I receive about a student is confidential; I will not discuss any information with others. *

Please type your first and last name to digitally indicate your agreement.

Reporting Potentially Missing or Abused Children

I have read and understand Policy and Regulations #8462, Missing, Abused and Neglected Children. I will report immediately and directly to DCP&P all incidents of alleged missing, abused and neglected children at 1-877-NJABUSE. I will also inform the school principal that the report has been made. *

Please type your first and last name to digitally indicate your agreement.

Harassment, Intimidation and Bullying

I have read and understand Policy and Regulations #5512, Harassment, Intimidation and Bullying. I will report alleged violations of this policy to the Building Principal or designee on the same day that I witness or receive reliable information regarding a violation. *

Please type your first and last name to digitally indicate your agreement.

Please list your child/children's name(s) at this school and teacher(s). *

Please list: Child's last name, Child's first name/Teacher with each child on a separate line

Please select the grade level(s) of your child/children. *

Please check all that apply.

Grade 7

Grade 8

Required

Please indicate the CTMS volunteer opportunities in which you are interested. *

Yes

Library Assistance

Enrichment Assistance

Bulletin Boards/Displays

CTMS Drama Production: Set Construction

CTMS Drama Production: Making Props

CTMS Drama Production: Photography

CTMS Drama Production: Chaperones

CTMS Drama Production: Hair/Make-Up

Hershey Chaperones

Special Interest/talent (list in Other)

Other comments (or special talents):

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