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Volunteer Application

Volunteer interest: please check the areas that fit your interest.
Background checks are required on any volunteer over the age of 18 that will have direct contact with any minors. Will you absorb this cost ($30) so that the Break can put the funds directly back into providing for the teens?

Statement of Agreement: I will not hold the BREAK, Break board members, or participant accountable for any injury that might occur during my work as a volunteer. I grant permission for the BREAK to review the required background check. I also grant permission for  the taking and publishing of any photos taken during my work as a volunteer of the BREAK.   


Please provide electronic signature and date below.

Thank you for registering! We'll contact you shortly!

Download and print this form after we call you for an interview!

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