Please fill out this form to secure your registration. One registration per person. After completing your registration, please use the PayPal button below to complete payment by PayPal or credit/debit card.

Each Give Back Bus trip costs $15 – includes a t-shirt, snacks, your bus ride, and more!

August 25, 2018 Give Back Bus Registration
First things first. What's your first name?
What's your last name?
What's your email? This one's required!
We'll need your phone number, too.
And your address?
Address: Street number, street
Address: Apt number, if necessary
City
State/Province
Zip/Postal
Country
Your registration cost includes a sweet t-shirt! To keep prices low, t-shirt sizes are limited to adult small through adult XXL.

Liability Waiver

I am voluntarily participating in the Give Back Bus because I want to do well for others and give back to my community. As part of doing so, I understand that I won’t know what charitable tasks I may be asked to participate in until I get to the site where they will be performed. I further understand that the tasks I ultimately perform may involve significant physical activity or labor, and may be performed in environments including, but not limited to, ice/snow, construction sites, the use of tools or simple machinery, elevated workstations, etc. With this knowledge, I understand that the tasks I may perform and/or the environment in which they will be performed may present inherent safety / health risks that can that range from minor injuries to catastrophic injuries.

By participating in the Give Back Bus, I knowingly and willingly assume any and all risks that may go along with doing so. Furthermore, I hereby waive any and all claims I may have against Volunteer Fox Cities, Lamers Bus, or any non-profit for which I will be volunteering in connection with my participation in the Give Back Bus, and release the aforementioned entities from any and all liability in connection with my participation.

In addition, I hereby give full consent to Give Back Bus and Volunteer Fox Cities to publish, reproduce, and display, without limitation all video, electronic, or photographic materials in which I’m pictured on the day of the event, as well as any of my written and/or spoken comments taken or collected during the day of the Give Back Bus. I understand I am releasing and discharging these entities from any and all claims, now or in the future relating to these images and comments, which may be used without limitation, reservation, or compensation.

I agree to the above liability waiver. (If the above box is not checked, you will not be allowed to participate.)
If you are completing this registration for a minor child of which you are the parent/guardian, please check here to agree to the minor child liability waiver.

Reminder: One registration per person. After completing your registration, you will be taken to PayPal to complete payment by PayPal or credit/debit card.

Each Give Back Bus trip costs $15.

Just in case we need to send you some last minute details or want to remind you about the event, can we text you?
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