Adopt-A-Family

Your Name (required)

Address

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Your Email (required)

Phone

Preferred contact method:

EmailPhoneEither

Available days:
SunMonTuesWedsThursFriSat

Time of day available:
MorningAfternoonEvenings

Services interested in:
preschoolspecial projectsteen parentsadministrativeeventsother

Opportunity interested in:
Family Game NightsPreschool Pals / P.A.L.S End of Year Celebration2015 Shine CelebrationEarly Learner GraduationTeen Parenting Group MeetingsSpeed Volunteering OpportunitiesPreschool Parent / Child ClassBoard Members / Advisory CommitteesOther

Language(s) Spoken besides English:
AmharicArabicHmongOromoSomaliSpanish

Other languages spoken:

Emergency contact (name, phone, relationship):

Volunteer agreement (required):

I understand that during the course of my volunteering at Way to Grow, I may come in contact with information that is deemed confidential. This includes, but is not limited to, personal information about Way to Grow participants. I understand that Way to Grow is required by law to keep this information confidential, and I will treat all information I come across as such unless I am told otherwise.

I understand and agree that I am volunteering for Way to Grow at my own risk and request. I also give permission for the free use of my name, picture and voice in any broadcast, telecast, print account or any other account in any medium of the event being recorded.

I Accept

Additional Message:

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