Volunteer Application Form Step 1 of 5 20% Type(s) of Volunteer On-Ice Off-Ice Rink Location*-- Select One --School Day Adaptive Ice Skating ProgramSummer Skates at Riverside RinkIcebreaker sessionsPersonal InfoName* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Cell NumberEmail* Gender*MaleFemaleDate of Birth* MM slash DD slash YYYY Ethnicity (for funding purposes only)*African-American/BlackAsianCaucasian/WhiteHispanicNative AmericanOtherSchool / Group HomeAre you over the age of 18?* Yes No Employer (Optional)Employer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent / Guardian #1Parent #1 will receive a confirmation e-mail for this registration.Parent / Guardian #1* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*Primary Email Address* EmployerEmployer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent / Guardian #2Parent / Guardian #2 First Last Home Address (optional, if different) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone NumberParent/Guardian 2 Email Address EmployerEmployer Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency ContactName* First Last Phone Number* PermissionI agree to assist SABAH in its mission to provide individuals with physical, mental or emotional challenges the opportunity to reach their fullest potential through the development of therapeutic and recreational skills and performing in SABAH’s Annual Celebration on Ice Show. I agree that I may be photographed, videotaped or interviewed for the purpose of improving the quality of services provided by SABAH or for publicity purposes. It is the purpose of this agreement to exempt, waive and relieve releases from liability for personal injury, property damage, and wrongful death, including if caused by negligence, including the negligence, if any, of releases. “Releases” include SABAH Inc., event hosts, other participants, sponsors, advertisers, Board of Directors, volunteers and each, their officers, directors, agents and employees.Please check the box to accept:* I ACCEPT THESE TERMS In consideration of being allowed to participate in any way in the program, related events and activities, I acknowledge, appreciate, and agree that : I am aware there are risks to the participant or myself of exposure to directly or indirectly arising out of, contributed to, by or resulting from an outbreak of any and all communicable disease, including but not limited to, the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)”, which is responsible for the Coronavirus Disease (COVID-19) and/or any mutation or variation thereof. I acknowledge my responsibility not to allow the participant or myself to practice if exhibiting symptoms of COVID-19. If, however, I (or the participant) observe any symptoms during participation or practice, we have agreed to discontinue participation, and will bring such to the attention of the coach immediately. I hereby release, indemnify and hold harmless SABAH, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses and liability arising out of or related to any illness, injury, disability or death I or the participant may suffer, whether arising from the negligence or the releasees or otherwise, to the fullest extent permitted by law. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. COMMUNICABLE DISEASE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT ACKNOWLEDGEMENT I AGREE TO THE COMMUNICABLE DISEASE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT Please add me to your mailing list. Have you ever been convicted of a crime where a minor was a victim? No Yes CAPTCHA