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Minor volunteer release waiver

**Must be completed by a parent**

I hereby certify that I am the adult parent or guardian of, a minor child*, and I consent to his/her participation in a volunteer capacity with Knead Community Café.


In the event of an emergency, I authorize the person in charge to seek qualified medical aid for any injury sustained by my child. I understand that all costs incurred for medical expenses are my responsibility. Also, I understand that my child is expected to act in an appropriate manner, and, if my child does not behave appropriately, I may be required to pick him/her up at the site.


Once this release form is signed, I understand that the Knead Community Cafe Board of Directors, Staff, and Affiliates are not liable or responsible for any personal injury, loss of property, negligent, willful or intentional act. Additionally, I acknowledge that my son/daughter’s participation in volunteering with Knead Community Cafe is entirely voluntary and understand that they are subject to the rules, procedures, and regulations of this organization.


Furthermore, I acknowledge that I have read and understand the above statements and that I am of legal age to bind myself to this release and waiver.


*Any child under the age of sixteen must be supervised by an accompanying parent/guardian at all times. We require that a child be at least 14 years of age to volunteer with a parent.

Parent/Guardian Information:

Date
Contact Us

1011 Barnes Street

New Kensington, PA  15068

(878) 847-7997

admin@kneadcommunitycafe.org

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Knead Community Cafe is a registered 501(c)3 charitable organization

BLENDING NEIGHBORS + BREAKING BARRIERS + FORMING A HEALTHY COMMUNITY

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