Registration (General) | North Cascade Cares

Free Vision Clinic

October 25 & 27, 2024

Thank you for volunteering!

Our free vision clinic will be held at the North Cascade Seventh-day Adventist Church on October 25 and 27. Volunteers are needed in several different departments.

This form is for GENERAL VOLUNTEERS. If you are a health professional, please visit this link to fill out a different registration form.

First name

Preferred Name (if different from your legal name)

Last name

E-mail

Phone

Address

In which areas would you be interested in volunteering?

Is there anything we should know about your selections for volunteer placement?

Are there any languages that you could provide translation for during the clinic?

When are you available to volunteer?

Friday, October 25 (Clinic)

Sunday, October 27 (Clinic)

Sunday evening, October 27 (Teardown)

Is there anything we should know about your availability to volunteer on the dates you selected?

Have you volunteered at a free vision clinic at this location before?

Yes

No

We ask that all volunteers wear a "North Cascade Cares" T-Shirt. You can purchase one for the event, borrow and return one, or bring one from a previous clinic. (Payment will be collected at the event.)

I already have a "North Cascade Cares" T-shirt.

I would like to purchase a T-shirt. (Select size on next question)

I would like to borrow and return a T-shirt. (Select size on next question)

If you don't already have a shirt, what size would you like? (Tall sizes run from L - 4XL)

Please provide an Emergency Contact:

Emergency Contact Phone Number

Volunteer Waiver of Liability

An insurance policy will be provided to cover volunteers at our event. However, please read and acknowledge the statement below.

As a Participant Volunteer, I hereby acknowledge my awareness that my participation in Free Vision Clinic, held at the North Cascade Seventh-day Adventist Church (hereafter, "local church") shall be at the Participant Volunteer's own risk. The Washington Conference of Seventh-day Adventists, including the local church, administrators, officers, committee members, vendors and/or agents shall not be liable of any damages arising from personal injuries of damages sustained by Participant Volunteer in or during his/her active or passive participation at the Free Vision Clinic.

As a Participant Volunteer, I assume full responsibility for any injuries or damages, and hereby release and discharge, the Washington Conference of Seventh-day Adventists, including the local church its administrators, officers, committee members, vendors, and/or agents from any and all claims, demands, damage rights, or causes of action present or future resulting from participation in the Free Vision Clinic.

I have read and acknowledged the above statement.