Type(s) of Volunteer

On-Ice

Off-Ice

Rink Location*

Personal Info

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Cell Number

Email*

Gender*

Date of Birth*

Ethnicity (for funding purposes only)*

School / Group Home

Are 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 #1

Parent #1 will receive a confirmation e-mail for this registration.

Parent / Guardian #1*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Primary Email Address*

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent / Guardian #2

First Last

Home Address (optional, if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number

Parent/Guardian 2 Email Address

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact

Name*

First Last

Phone Number*

Permission

I 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.

Please add me to your mailing list.

Have you ever been convicted of a crime where a minor was a victim?

No

Yes