Who is registering?

  • Note: The below additions exceed what is available for certain dates and this event does not allow waitlisting. Official confirmation goes to those who confirm first while others will be declined.
  • Note: Some date(s) appear full, and this event does not allow waitlisting.
    The primary registrant will be in charge of all updates for this group registration.

    Please note: Attendee must confirm registration to claim their spot.

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    Phone number must be 10 digits
    * Date Of Birth MM/DD/YYYY
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    Occassionally United Way of Southeast Iowa RSVP will purchase a volunteer recognition gift. Please share the size you would use on each item below.

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    Beneficiary for Supplemental Accident Insurance

    In case of accident, if there is no surviving beneficiary, loss of life benefits will be paid in one sum to this covered volunteer's estate.

    COMMITMENTS: Please read this carefully before signing at the bottom.

    I hereby and freely, voluntarily and without duress, execute this Release under the following terms: Release and Waiver: I hereby release and forever discharge and hold harmless UWSEIA, its directors, employees and consultants from any and all costs, liabilities, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my participation in the activities on behalf of UWSEIA. I understand that that this Release discharges UWSEIA from any liability or claim that I may have against UWSEIA or otherwise. I also understand that UWSEIA does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, disability, or automotive insurance in the event of injury or illness. Each volunteer is expected and encouraged to obtain his or her own medical or health insurance coverage. I understand that I am not an employee of UWSEIA, the sponsoring agency, or of any agency where I may volunteer. I am under no obligation to accept or continue any assignment unless I choose to do so. I affirm that the information that I have provided is accurate and that I have read and agree to the statements above. I give UWSEIA permission to use my name/photo for education/marketing purposes.