Register – Center for Advocacy | Support

E-mail Address*

Password*

Confirm Password*

Address*

Phone Number

Parent or Legal Guardian name and Email

First Name*

Last Name*

Birth Date

Mobile Number

Emergency contact and cell

Relationship to Participant

We thank you for your interest in helping CAST as we serve our community and make a difference in the lives of others. We will call you soon.

For your safety and well-being, we discourage anyone considered high risk for serious illness relating to COVID-19 according to the CDC guidelines from volunteering in the community at this time. Please consider opportunities to volunteer from home.

VOLUNTEERS MUST COMPLETE THE CONFIDENTIALITY FORM, WAIVER AND RELEASE FORM. PARENT/LEGAL GUARDIAN SIGNATURE IS REQUIRED IF VOLUNTEER IS UNDER AGE 18.

THESE FORMS CAN BE SCAN AND EMAIL TO mailto:info@castsoutholdtown.org, OR DROP OFF AT CAST M, W, TH, F 9:30-12 OR MAIL TO CAST, PO BOX 159, GREENPORT 11944:

PUBLICITY RELEASE
CONFIDENTIALITY FORM
WAIVER AND RELEASE FORM

Only fill in if you are not human