What's your email address?

Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Phone Number *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Home Address *
City *
State *
Zip *
Church/ Organization *
Church/ Organization City, State *
Gender *
T-Shirt Size *
Is the volunteer a minor (Volunteers ages 12-15yrs old must have a parent/guardian present. Volunteers ages 16-17yrs old must have a youth leader/adult supervision present.) *
If yes, please provide age of volunteer and name of Parent/ Youth Leader
Any skills? *

Disclaimer

International Disaster Emergency Service

Volunteer Liability Release Form

I acknowledge the risks of disaster site deployment and assume all responsibility for and all damages or injuries, that may occur while working with or otherwise participating in any activities or projects sponsored by International Disaster Emergency Service.
I release and discharge International Disaster Emergency Service, their employees and agents,
and all others associated with them from all claims, demands, right or causes of action, present or future, whether known, anticipated, or unanticipated, and resulting from or arising out of,
or incident to my participation in activities of International Disaster Emergency Service or use of their facilities or equipment.