Volunteer Registration

Name *
Name
Address *
Address
Primary Phone *
Primary Phone
Date of Birth *
Date of Birth
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Would you like to join our mailing list to receive our newsletter, event updates, and general DSACT communication? *
What volunteer activities interest you most? *
Please indicate the days you are usually available to volunteer. *
Please indicate the times you are usually available to volunteer. *
Please share anything you'd like us to know about you.
Skills and Experience *
In which areas do you feel you have moderate to excellent skill? Check all that apply.
Are you fluent in any of the following languages? *
Please select all that apply.
Volunteer Agreement *
I understand and agree that submitting this application form does not automatically register me as a DSACT volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures, and successful completion of a background check before I may begin volunteering. I understand that photos from events may be posted in the DSACT Newsletter, on the DSACT website and in future print materials and I give my permission to release any photos taken. I understand that the nature of volunteer activities that may be performed may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk for personal injury. Knowing this, I hereby assume any and all risk. In addition, I hereby save and indemnify and keep harmless the Down Syndrome Association of Central Texas and any of its partners, agents, sponsors, board members and successors from any and all liability claims, judgments or responsibility for any such accident or injury. By submitting this form, I attest that the information I have provided on the form is true and accurate.