Form

Volunteer Connection

Sound The Alarm. Save A Life. – 11/3/2017 – 8:00 AM – Little Havana, FL

Welcome!

Thank you for playing a major role in helping the Red Cross and
our partners to install 100,000 free smoke alarms nationwide
in September and October, leading up to our one millionth smoke
alarm installation.

Please complete the form below to get started.

NOTE: If you are already a Red Cross volunteer, please log
in to Volunteer Connection to sign up through the "Shift Tool".

Thank you!

*First Name

*Last Name

*Email

*Phone

Mobile Phone

Mobile Updates

I Agree to receive important information about my event participation. Standard data and messaging rates may apply. (You can opt out at any time)

*Home Zip Code

*Is this your first time volunteering for a Red Cross Home Fire Campaign?

Yes

How did you first hear about this opportunity?

Age & Photo Release

*Age

I am 18 or Older

I am under 18

Youth under 18 need parental consent to participate in Home Fire Campaign events.
Please print out and have your parent/guardian fill out the Parental Consent form and bring
it with you to the Registration table on the day of the event. Opportunities available for youth
are Documenter and Educator positions on Installation Teams.
Download & print Parental Consent Form (PDF) >>

*Photo Release Agreement

I Agree

I give to American Red Cross, and its designees and agents, unlimited permission to photograph, videotape,
and record me and my residence/property; and, for American Red Cross and its licensees and assignees,
permission to use, publish and republish in any form or media for any purpose, information about me,
statements made by me, and reproduction of my likeness, my voice, and my residence/property,
with or without identification of me by name. If a child’s image is used with mine or separately, and
I am the parent or guardian of that child, I agree to this on behalf of myself and the child.

Ways to Help

There are a variety of ways to help at this event. Please see below for a general description
of these options and indicate any preference you have in terms of how you'd like to help us
on the day of the event.

Volunteer Safety Educator: Educates the family on fire safety
and assists with completing a disaster plan while the smoke alarms
are being installed. This volunteer should be comfortable speaking
with a wide variety of individuals.

Volunteer Smoke Alarm Installer: Installs smoke alarms in
homes during the canvassing event. This volunteer should be
comfortable using a ladder and a power drill.

Volunteer Documenter: Records information about each home
and the number of alarms installed. This person should be
comfortable completing basic paperwork.

Assignment Preference #1 (optional)

Assignment Preference #2 (optional)

Group Information

Please complete the information below if you are volunteering
as part of a group or organization.

1) Group/Organization Name -Please indicate if you are volunteering as an employee/member of one of the businesses or organizations in this list.

2) Group/Organization Write In - If you are volunteering with a business or organization that is NOT listed, please indicate the business/organization name here.

3) Will you be bringing other people with you? If so How many? Note: We ask that each person register individually. If they do not register ahead of time, they will need to register the day of at the event

Please click “SUBMIT” to complete your registration

Note: In accordance with the Children's Online Privacy Protection Act of 1998, youth under the age of 13
cannot be registered on Red Cross websites nor have personal information stored online by any
Red Cross unit, but can still support the organization and be recognized as a volunteer.

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