Form

Volunteer Connection

Sound The Alarm. Save A Life. – 9/22/17 – 9:00AM – Galesburg & Parchment, MI

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

*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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