Student NameLilah Davies
Student EmailEmail hidden; Javascript is required.
Phone564 232 0382
Would you like to be notified via text of upcoming volunteer opportunities?Yes
School district where you attend high schoolMount Vernon School District
Grade10 - Sophomore
Who is your ViV Club advisor?Kiera Wright - Mount Vernon
How many years have you been in ViV (not including this school year)1
Have you earned a Varsity letter in Volunteerism in the past?No
Student Agreement
I attest that:
  • I will honestly report and document my hours of community service and meet all the qualifications as outlined by ViV guidebook. To my knowledge, these hours will be valid and count toward earning a Varsity Letter in Volunteerism.
  • I have read the ViV student manual in its entirety
  • I have watched the “Introduction to Youth Volunteerism” video and “ViV 101- How to be a good volunteer”
Student SignatureLilah Davies
Date02/12/2009
Parent/Guardian Agreement
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o I attest that I give permission for my child to participate in ViV as outlined in the ViV guidebook. I am fully aware of the risks involved in such above-mentioned activity, and I release from liability the organizations listed above and waive any such claims that may result of an accident, mishap or negligence of the Released Party and/or any other party under or affiliated with Released Party that results in the injury or death of the above-named minor. I understand that my child’s image may be captured on video and/or photographed while participating in Varsity in Volunteerism, whether by organizing parties, partner organizations, or by media organizations that may cover events throughout the program. Recorded audio, photographs, and video images are public records. I give permission for my child to participate and be videotaped and photographed. I also understand that no compensation is provided for any appearance or statements recorded by organizing parties, partner organizations, or any media attending Varsity in Volunteerism events or volunteer opportunities.

I give my permission as indicated aboveYes
Parent SignatureJustin Davies
Date07/17/1974
Parent email addressEmail hidden; Javascript is required.