RED RIVER PARISH PUBLIC SCHOOLS BACK TO SCHOOL BASH VOLUNTEER FORM

Name*

First Last

School Email*

Personal Email*

Phone*

Please provide a number we can reach you at on the day of the event. Thank you!

School or Department*

T-Shirt Size*

Please select one.

Small
Medium
Large
X-Large
2X
3X

Volunteer Station(s) Selection

If you would like to volunteer at the backpack stuffing, please select a station below.

(teachers and support staff by grade only)

1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9-12th Grade

If you would like to volunteer at the Back to School Bash event, please select a station below.

Bounce House (2 volunteers)
Food and Beverage (4 volunteers)
Registration (2 volunteers per grade)
Supply Pickup (2 volunteers per grade)
Crowd Control (8 volunteers)
Junior High Gym Floaters (8 volunteers) (help families navigate community resources)

Please select a Registration Station below.*

(teachers and support staff by grade only; select one)

1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9-12th Grade

Please select a Supply Pickup Station below.*

(teachers and support staff by grade only; select one)

1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9-12th Grade

Should there be a need to convert the Red River Parish Back to School Bash to a socially distanced event due to the COVID-19 pandemic, volunteers will be notified of all changes. Safe, socially distanced volunteer needs will be communicated to all who have signed up.*

I agree understand.

RELEASE OF LIABILITY & MEDIA WAIVER*

I hereby release, indemnify, and hold harmless United Way of Northwest Louisiana, the organizers, sponsors, and supervisors of all its activities from any and all liability in connection with any injury (including injury caused by negligence) in conjunction with the Red River Parish Back to School Bash events held on Friday, July 29, 2021, and Monday, August 9, 2021. Likewise, I hold harmless from liability any person transporting me to or from my United Way activity. In addition, I hereby give to United Way of Northwest Louisiana, to its nominees, agents, and assigns my free and unlimited consent and permission, waiving all claims for any compensation by reason thereof or for damages thereof, to use, publish, republish, or exhibit in the furtherance of its work, with or without identification of me by name, the photograph(s), or video images of participation in the Red River Parish Back to School Bash events held on Friday, July 29, 2021, and Monday, August 9, 2021.