The Susan G. Komen Breast Cancer Foundation Central Oklahoma Affiliate: Volunteers

Race Volunteers

Volunteers are the very heart and soul of Komen. The Komen Oklahoma City Race for the Cure® utilizes hundreds of volunteers working a variety of jobs, from pre-race registration, to water stops, to race course set up. Please fill out our online Race volunteer form below, and a Race Representative will contact you. CLICK HERE for detailed job descriptions.

Please provide us with your contact information:

Name:

Title	First Required	Middle Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number: Required

Gender:

Date of Birth:

Month

Day

Year

Yes, I would like to receive e-mail from The Susan G. Komen Breast Cancer Foundation Central Oklahoma Affiliate

Email Format:

Yes, I would like to receive postal mail from The Susan G. Komen Breast Cancer Foundation Central Oklahoma Affiliate

*2.

Question - Required - Emergency Contact:

*3.

Question - Required - Emergency Contact Phone:

*4.

Question - Required - Emergency Contact Relationship:

Question - Not Required - Do you have any health issues that we should be aware of?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Volunteer Interests/Skills:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - I am interested in the following area(s) prior to Race Day:

	Pre-Race Registration
	Pre-Race Money Management
	Recruiting Sponsors
	Distributing Race Forms and Posters
	Marketing the Race
	Promoting the Fundraising Program
	Recruiting Volunteers
	Recruiting Teams
	Serving as a Team Captain Liason

Question - Not Required - I am interested in volunteering in the following areas on Race Day:

	Water Stop
	Race Day Registration
	Race Course Guide
	Set Up Race Course
	Tear Down Race Course
	Survivor and Awards Ceremony
	Pink Hat Cafe
	National Sponsor Assistant
	Photographer

Question - Not Required - I am available:

	Week Days
	Week Nights
	Weekends

10.

Question - Not Required - I am interested in:

11.

Question - Not Required - T-Shirt Size (first come, first served):

12.

Question - Not Required - I am a Breast Cancer Survivor and would like to be included in Survivor Events.

I wish to volunteer for the Central Oklahoma Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (the “Komen Affiliate”). I understand that the nature of volunteer activities that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this and in consideration of being allowed to volunteer, I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY DAMAGE THAT I SUSTAIN OR CAUSE DURING MY PARTICIPATION AS A VOLUNTEER. IN ADDITION, I HEREBY RELEASE, HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE KOMEN AFFILIATE, THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. (THE “FOUNDATION”) AND ANY OF THEIR EMPLOYEES, VOLUNTEERS, PARTNERS, AGENTS, SPONSORS, BOARD MEMBERS AND SUCCESSORS FROM ANY AND ALL LOSS, LIABILITY OR CLAIMS I MAY HAVE ARISING OUT OF MY SERVICE AS A VOLUNTEER.

I understand that as a volunteer, I may become privy to confidential information about the Komen Affiliate or the Foundation. I agree to maintain the confidentiality of any information marked “confidential” as well as any information about the Komen Affiliate’s or the Foundation’s internal procedures, business operations, existing or prospective donor information, proprietary business information, personnel information and the like that is not otherwise publicly disclosed by the Komen Affiliate or the Foundation. I will not use any confidential information in any manner that would be detrimental to the Komen Affiliate or the Foundation, and I will avoid any actions that might impair the reputation of the Komen Affiliate or the Foundation.

*13.

Question - Required - I have read and agree with the above statement.