Volunteer at Carlin Prom

Register to volunteer for the 2025 Carlin Prom using the form below.
Please Note: Volunteer training will be held on Tuesday, April 1^st, at 6PM.
If you cannot attend, a recorded session will be e-mailed to you.

Volunteer Information

First Name*:

Last Name*:

Email*:

Phone Number*:

( ) -

Address*:

Date of Birth (MM/DD/YYYY):

All volunteers must be age 18 or older

City*:

State*:

Postal / Zip Code*:

Volunteer Preference:

EVENT RELEASE, WAIVER AND HOLD HARMLESS AGREEMENT & COMMUNICABLE DISEASES INFORMED CONSENT: I have read and agree to the content stated in the Event Release/Waiver/Hold Harmless Agreement.

I consent

Media Consent:*: By submitting this form, I hereby give my consent and authorization to Nicklaus Children’s Health System, Nicklaus Children’s Hospital, and Nicklaus Children’s Hospital Foundation, including its physicians, authorized technicians, employees, and authorized agents (collectively “NCHS”) to photograph, film, create digital images, video, interview, create sound recordings, or otherwise create media content (“Content”) of me child related to the Carlin Prom event. I understand that such media content may include my face, image, likeness, voice, name and age.

I consent

Marketing or Media Purposes*: The Content may be used by NCHS for internal and external marketing, public relations, communications, and promotional purposes. Disclosures may be made to national and local reporters, television programs, news agencies, radio stations, internet, and social marketing or media sites. I hereby consent to and specifically authorize NCHS to disclose and use such Content as indicated above and in Media Consent.

I consent

Do you have food allergies? Please specify.:

Volunteer at Carlin Prom

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