Shine Bright Special Needs Prom Oswego
What to Expect
2015 & 16 Pics
Application to Volunteer for the Night to Shine Prom:
How are you involved with Special Needs?
Other Family Member
Circle of Friends
Please describe your activities that involve Special Needs Individuals:
Autism / Aspergers
Epilepsy / Seizure
Panic / Anxiety
Describe your experience caring for a special needs situation::
Volunteer Roles Desired
Set-Up / Decorating
Date of a specific Special Needs Guest
Buddy / Guest Personal Helper
Food / Beverage
Non-Buddy On Site (Crowns, Flowers, etc)
(*Team Leaders are being selected through an interview process based on skills, availability, and experience.)
Describe your skill / experiences that make your desired role a good fit:
Buddies / Dates: is there a Special Needs Guest you will be paired with (if yes enter Guest's name)?
Volunteer Time Availability
Choose any times you are available to serve:
Evenings Weekly Pre-Event
1-2 Hours / Week Until the Event
3-5 Hours on the day of the Event
5-10 Hours on the day of the Event
Giving Time is Difficult / Limited
Please describe your availability to serve leading up to and on the day of this event:
Photography / Video - I give the Big Life Community Church ("BLCC"), Celebrate Differences ("CD"), BLCC, & CD employees, and BLCC, & CD agents, permission to use for any lawful purpose my likeness, image, voice, and/or appearance as such may be embodied in any pictures, renderings, photographs, video recordings, audiotapes, digital images or the like with the understanding that the event will not publish my name.
I agree that BLCC, & CD has complete ownership of such pictures, etc., including but not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed. including but not limited to the internet, television, radio, newspapers, magazines, social media sites (e.g., Facebook, Twitter, Flickr, blogs, etc.) and/or BLCC, & CD audio, print or internet publications. I also agree that BLCC, & CD has permission to release such pictures, etc., to the news media. I acknowledge that I will not receive and compensation or remuneration for the use of such such pictures, etc. I understand that once such pictures, etc., are published to the media or on the internet, or are otherwise published, that they may be used in publications and/or on websites outside of BLCC, & CD control.
Background Checks for Age 18+
Every 43 seconds a predator attempts to sign up to be near vulnerable populations. (ref: SecureSearch) In order to serve with vulnerable populations, you must provide proof that you are legally able to serve this population. Every person aged 18+ must secure and provide a criminal background check prior to serving at the Special Needs Prom. Signing this agreement certifies that you are aware of and agree to this requirement to prove your legal eligibility to serve. Signing this agreement additionally certifies and attests that you are legally able, not under any legal encumbrances, nor have any legal violations or history of violent or dangerous behaviors towards others, and in signing you agree to provide and/ or allow search or certification of this information to Big Life Community Church as required.
Training is mandatory to ensure every Special Needs guest is treated with respect. You must attend and receive the training(s) provided in order to serve this Special Needs event.
Communication / Social Media Policy
By signing up for this event you agree NOT to make any derogatory or deriding or defaming comments of any kind to the participants of the event or the event itself - including on any social media.
Additionally, you may not post any personal photos of the guests of the event in any form that are not administrated by the organizers of the event - including "selfies" at the event that include Special Needs guests. (Social Media is too vulnerable - Images can be used to create memes and make fun of images of people with Special Needs.) Any social media posts or comments inconsistent with the positive promotion of the event will be required to be removed and deleted. (There will be an area designated for safe selfies.)
All persons serving at this event may not use any alcohol or intoxicating substances prior to or during the duration of the event. Suspicion of intoxication is grounds for removal from the event.
Accident Waiver / Waiver of Liability
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Big Life Community Church, Celebrate Differences, CUSD #308 and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.
I acknowledge that the organizers and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.
I acknowledge that this activity carries with it the potential for injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.
Print Name As Electronic Signature
Thanks for applying to volunteer! We will contact you soon!
Shine Bright Special Needs Prom
What to Expect
2015 & 16 Pics