Volunteer with National Multiple Sclerosis Society

| Walk MS: St.Charles

May 7th, 2017
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Registration Information

Required fields are marked with an asterisk (*)
First Name *
Last Name *
Day of Event Phone Number *
Date of Birth *
T-Shirt Size
Volunteer Group/Club/School *
Emergency Contact (Must be parent/guardian) *
Emergency Contact Phone Number *
Parent/Guardian Email *


Volunteer Consent – I (or my child) understand and have agreed to participate in Walk MS as a volunteer and have read and understand my responsibilities to be performed. It will be my (or my child) sole responsibility to obtain the necessary mode of transportation to perform these responsibilities. It is my (or my child) further understanding that NMSS 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 to myself (or my child) in the event of injury or illness while participating in the event.

Media Release - I also hereby give permission to the National Multiple Sclerosis to use my (or my child) name and any photograph, likeness or image taken of me during the event in any promotional materials, publication or via the website. Confidentiality Policy - I understand that I (or my child) may be given access to the identity and details of persons with multiple sclerosis and their families. I (or my child) agree to safeguard this information in strict confidence.

Alcohol, Drug, and Weapon Use - For the safety of all concerned during Walk MS, consumption of alcohol by volunteers of the National Multiple Sclerosis Society is strictly prohibited. Any volunteer found consuming alcohol while carrying out his/her responsibilities on behalf of the Society during Walk MS will be referred to his/her Volunteer Coordinator/Site Lead and removed from his/her position. Transportation home will be the responsibility of the volunteer. Furthermore, the Society will not be held responsible for liabilities that may arise from any participant under the influence of alcohol. Weapons are strictly prohibited at Society events. I agree not to bring a weapon of any kind to the event, including all Society sponsored pre and post event activities.

If you are an adult registering a minor (under 18 years old), you are accepting these terms. I certify that I have read this agreement and release and understand its significance.
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