MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C6D809.052D54C0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C6D809.052D54C0 Content-Location: file:///C:/5A71CA4C/NETWORKVOLAPPL.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"

3D"Th= = &nb= sp; =

= &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; Youth Development Program =

Home of NYBA

NETWORK Youth B= asketball Assoc.

= &nb= sp; P.O. Box 3330 Newark, NJ 07103=

= &nb= sp; Ph: 973-449-7135<= /o:p>

www.THENETWORK-NYBA.or= g

Volunteer Information and Release Form

(All Volunteers are required to complete all information below and to sign the r= elease statement)

Name<= span class=3DGramE>:_______________________________________________<= /o:p>

Addre= ss:_____________________________________________

Dayti= me Phone:_______________ Evening Phone: ___________= ____ Email:___________________________

Occup= ation: ___________________________________________________________

Emerg= ency contact: ________________________________ Phone: ____________________ Relationship: ____________

Have = you ever volunteered before? _________ If yes, for what organization?___________________________________

What is your strongest skill? _________________________________________________________=

Pl= ease check volunteer areas of interest:

__Adm= inistrative Support _= _Coach/Referee Training __Event Host/Hostess __Fundraising

__Mentoring __On-site Crowd Control __Photography __Public Affairs Officer __Scorekeeper/Timekeeper

__Team Parent Representative&= nbsp; __Workshop Facilitator/Assistant

Please list days and times that you are available to volunteer:<= /b>

=

_______Sunday _______Monday ________Tuesday ______ Wednesday ______ Thursday ______Friday ______Saturda= y

Release Statement

I acknowledge that I am in good physical and mental health and I am able to volunteer for NETWORK programs in the areas specified above. As a volunteer, I expect to receiv= e no compensation for my participation and support of The NETWORK. I agree to ho= ld harmless and release The NETWORK and any persons employed or affiliated with the aforementioned organization from any liability due to my participation = as a volunteer. I also understand = and agree that any work conducted on behalf of The NETWORK will be kept strictly confidential and is the property of The NETWORK.

=

=

_____= __________________________________________ &= nbsp; ______________= ___________________

Volun= teer’s Signature &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; Date<= /p>

Office Use Only

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