Volunteer Driver Form

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Family First Community Center Foundation

Name *

Phone number *

Email *

Your Neighborhood Zip Code *

Preferred area for delivery *

North Seattle

North King County (Kenmore, Lake Forest Park, Shoreline)

Central and Downtown Seattle

Eastside

West Seattle

South Seattle (Rainier Beach, Tukwila, Renton, Burien, SeaTac)

South King County (Kent, Federal Way, Auburn)

I am able to deliver to all of King County

Other:

What is your availability? *

Mornings

Evenings

Weekends

My availability is open

Other:

Are you able to lift up to 25 pounds? *

Yes

Can you verify that you have a valid driver's license? *

Yes

Drivers are required to have their own auto insurance. Can you verify that you are insured? *

Yes

Vehicle Make and Model *

Can you verify that you are over the age of 18? *

Yes

Can you verify that you have at least one year of driving experience? *

Yes

Have you experienced any flu like symptoms in the past 2 weeks? *

Yes

Have you been exposed to anyone experiencing flu like symptoms in the past 2 weeks?

Yes

Clear selection

I hereby release and forever discharge and hold harmless Family First Community Center Foundation, its employees, officers, contractors, agents, and representatives, from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to Family First Community Center Foundation or while I am providing volunteer services on behalf of Family First Community Center Foundation. I understand and acknowledge that this release discharges Family First Community Center Foundation from any liability or claim that I may have against it with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to Family First Community Center Foundation or occurring while I am providing volunteer services. *

Agree

By clicking below I, the volunteer, certify all information is true and correct to the best of my knowledge *

Agree

Required

Submit

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