Medha Volunteer Registration Form
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Email *
LEGAL AGREEMENT
FOR VOLUNTEERS UNDER 18YEARS OF AGE: By submitting this agreement, I agree that Sankara Healthcare Foundation may create and share media recordings (video and audio), including photography, of my child/teen volunteer for training and other legal purposes as determined by SHF, including but not limited to flyers, program brochures and videos.

FOR ADULT (18 AND OVER) VOLUNTEERS: By submitting this agreement,  I hereby attest that I am 18 and above and agree that  Sankara Healthcare Foundation may create and share media recordings ( video and audio), including photography, of me for training and other legal purposes as determined by SHF, including but not limited to flyers, program brochures and videos.
First Name *
Last Name *
Phone Number *
Date of Birth *
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City *
State *
SIGNATURE
LEGAL GUARDIAN SIGNATURE IS REQUIRED FOR VOLUNTEERS UNDER 18

VOLUNTEERS 18 AND OVER MAY SIGN AS THEMSELVES
LEGAL GUARDIAN First and Last Name *
LEGAL GUARDIAN Ph # *
LEGAL GUARDIAN Email *
A copy of your responses will be emailed to the address you provided.
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