Volunteer with National Multiple Sclerosis Society

| 2017 Bike MS: Tour de Farms

June 9th - 11th, 2017
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Registration Information

Required fields are marked with an asterisk (*)
First Name *
Last Name *
Address, City, State, Zip *
Day of Event Phone Number *
Emergency Contact & Phone Number *
Group/Affiliation (if applicable)
Volunteer T-shirt Size
Notes/Do you need accommodations?
Is anyone volunteering with you?
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Volunteer Consent:I understand and have agreed to participate as a volunteer and have read and understand my responsibilities to be performed. It will be my sole responsibility to obtain the necessary mode of transportation to perform these responsibilities. If for whatever reason I am unable to perform as agree, I will in for the Greater Illinois Chapter volunteer manager immediately. It is my further understanding that National MS Society reserves the right to refuse or dismiss anyone that may cause any disturbance or hindrance in any manner that could jeopardize the safety of oneself or others.

Emergency Medical Treatment Authorization– I hereby consent to and permit emergency treatment in the event of injury or illness while participating in the event.

Media Release–I also hereby give permission to the National Multiple Sclerosis Society and the Greater Illinois Chapter to use my name and any photography, likeness or image taken of me during the event in any promotional materials, publication or via the website.

Confidentiality Policy–I understand that I may be given access to the identity and details of persons with multiple sclerosis and their families. I agree to safeguard this information in strict confidence.

Alcohol and Drug Use-For the safety of all concerned during the event, consumption of alcohol by volunteers of the National Multiple Sclerosis Society, Greater Illinois Chapter is strictly prohibited. Any volunteer found consuming alcohol while carrying out his/her responsibilities on behalf of the Society during the event will be referred to his/her volunteer manager and removed from his/her position. Transportation to/from home will be the responsibility of the volunteer. Furthermore, the Society and the Greater Illinois Chapter will not be held responsible for liabilities that may arise from any participant under the influence of alcohol.

Code of Conduct - As a volunteer for a National MS Society event, I will operate in a manner that is in the best interests of the Society. I will behave in the most professional manner and adhere to the policies and procedures of the Society. I will use my association with the Society in public events only to advance the mission of the Society. If I do not adhere to these guidelines or the staff may deem my behavior as unacceptable, I will be asked to leave the event and terminate my volunteer position.

I certify that I have read this agreement and release and understand its significance.