Sign in if you already have an account.
                                   
Susan G. Komen for the Cure
   
donate.gif
National Spotlight

Who are you running for? — Join in the fight against breast cancer by running a full or half marathon through Marathon for the Cure™

Rally for the Cure — Golf, tennis, dinner events and so much more...

A brand to trust — We are honored that Susan G. Komen for the CureŽ ranked number one in a recent Harris Interactive poll as the most valued non-profit brand and the charity people are most likely to donate money to. Additionally, Komen for the Cure ranked second on the 2010 list of the nation’s most trusted charities. Thank you to all who help us daily in the fight to end breast cancer!

Tidewater Affiliate Volunteer Sign-Up

  Please complete the following information

*

Name:

 

 

 

 

       

*

*

*

City/State/ZIP:

 

    

*

*

*

*

*

Date of Birth:



 

 

Please enter a user name and password for logging in when you return. You can use this password to update your information or receive personalized content.

*

5 to 60 characters

*

5 to 20 characters

*

 


*


*  


*


*
Question - Required - Volunteer support is needed for the following areas. Please mark your top 3 choices.
Please make between 1 and 3 selections from the choices below.

*
Question - Required - Special Events: Please check the following that you would be interested in volunteering for.

*
Question - Required - Do you have expertise or experience in these areas?

*

*
Question - Required - Please indicate your availability. Check all that apply:

*
Question - Required - Please indicate the amount of time you are willing to volunteer at this time (check all that apply)

 

Volunteer Release (must be signed in order to participate in Komen events)

I wish to volunteer for the Komen Tidewater Affiliate. I understand that the nature of volunteer activities that may be performed for the Komen Affiliate and during Komen events may involve physical activity, contact with unidentified and/or unfamiliar persons, or other potential risk of personal injury or accident. Knowing this and in consideration of being allowed to volunteer, I hereby assume full and complete responsibility for any 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, Susan G. Komen for the Cure, 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, 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.

*  


   


*
Question - Required - Date:




   Please leave this field empty