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Channel 94.1

Mon - Fri: 07:00 PM - 5:00 AM

Diaper Drive Volunteer Form

Diaper Drive Volunteer Form

Diaper Drive Volunteer Form

    Thank you for your interest in volunteering at the

    22nd Annual Channel 94.1 Diaper Drive presented by Woodhouse Auto Family

    Friday, December 13th 10 AM – 6 PM and Saturday, December 14th 10 AM – 5 PM

    Please complete this online form and a member of our team will be in contact with you!


    Sign up to volunteer? Please read and sign the release form below.

    Channel 94.1 Diaper Drive Waiver & Release of Liability

    VOLUNTEER AGREEMENT

    As a volunteer, I release and hold harmless SummitMedia, Open Door Mission, Hy-Vee, Werner Enterprises, Woodhouse Auto Family and their successors from any and all claims, costs, suits, actions, judgments or expenses upon any damage, loss or injury to me or to my property which may arise from this volunteer event.

    I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them.

    I also give permission to be photographed by project partners or the media for use in printed materials, through the internet or through other media outlets.

    In signing below, I acknowledge that I have read and understand this volunteer agreement.

    NOTE: If the volunteer is under the age of 18, a parent or legal guardian must sign.

    Diaper Drive Waiver & Release of Liability

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