EL DORADO LUNCHBOX: SUMMER MEALS FOR KIDS

Volunteer Sign Up Sheet
Date: ___________________, 2013
Name: ____________________________________________________________________________
Address: _________________________________________________________________________
DOB: ________________________________
Home phone: ____________________________

Male: _______

Female: ________

Cell: __________________________________

Email: ____________________________________________________________________________
Emergency contact: name / relationship / phone number
________________________________________________________________________________
Are you member of a congregation or organization? ______________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Names & ages of children under 18 who might volunteer with you:
_________________________________________________________________________________

Please fill out the back of this form to indicate dates and times when
you are available to volunteer this summer.
For questions, contact: Judie @ Kids Need To Eat, Inc., 405-308-9158 (cell),
kidsneed2eat@msn.com (email)
I understand that participation in any activity involves a certain degree of risk. I give consent for myself or
above named minor(s) to participate. I understand that participation is entirely voluntary and without
compensation. I release El Dorado LunchBox, its partners and their employees, its volunteers, related
parties and other organizations associated with the activity from any and all claims or liability arising out
of this participation.
I hereby agree and consent to allow El Dorado LunchBox to photograph or videotape the above named
persons for publicity purposes by El Dorado LunchBox and its partners, and I waive all claims for any
compensation for such use or for damages.
I give permission to El Dorado LunchBox to do a background check, if required, before working with
children.
Signature of volunteer: _____________________________________ Date: ______________, 2013
Please return to: El Dorado LunchBox @Kids Need To Eat, Inc. PO Box 467, El Dorado, KS 67042.

Thank you for joining with El Dorado LunchBox in serving our neighbors in need!

EL DORADO LUNCHBOX: SUMMER MEALS FOR KIDS

Volunteer Sign Up Sheet (cont’d)
Note: The primary activities of the summer meal program take place
at Skelly Elementary School, 961 S. Skelly, May 30 - Aug. 8.
Date: ___________________, 2013
Your name: ________________________________________________________________________
Special skills & interests: ____________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Please indicate any physical limitations and allergies you have, and accommodations
needed:
________________________________________________________________________________

Please indicate which volunteer opportunities interest you, using numbers to prioritize
(with #1 being your first choice)
___
___
___
___
___
___
___

packing Weekend Foodpacks on Thursdays, 5/30 - 8/08 (estimated 2 hours, btw 10am - 4 pm)
transporting Weekend Foodpacks to distribution sites in El Dorado
assisting with passing out lunch sacks, July 1 - Aug. 8, Monday - Thursday
mentoring teens hired to assist with program [“Teen Volunteer to Work Program”]
assisting with cleaning, cutting, and packaging fresh produce donated by Numana Gardens
assisting with advertising (lawn signs, distributing flyers, social media, taking photos, etc.)
other: ___________________________________________________________

Please check dates and times when you are available & prefer to volunteer this summer
(you can use numbers to prioritize, with #1 being your top choice)
Monday ___

Tuesday ___

Packing events: 5/30 ___
7/03 ___

Wednesday ___

6/06 ___
7/11 ___

6/13 ___
7/18 ___

Thursday ___
6/20 ___ 6/27 ___
7/25 ___ 8/01 ___

Friday ___

8/08 ___

Lunch sack distribution: 11:30 am - 1:30 pm
7/1-3 ___
7/8-11___
(closed 7/04)

7/15-18___

7/22-25 ___

7/29-8/01 ___

8/5-8 ___

Signature of volunteer: ____________________________________ Date: ______________, 2013
For more information, visit www.kidsneedtoeat.org or
contact: Judie @ Kids Need To Eat, 405-308-9158 (cell), kidsneed2eat@msn.com (email)
Please return to: El Dorado LunchBox @Kids Need To Eat, Inc.
PO Box 467, El Dorado, KS 67042

Thank you for joining with El Dorado LunchBox in serving our neighbors in need!

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