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Parents: Virtual Volunteer Program

Name: Parents: Virtual Volunteer Program
Start: 2020-03-20T05:30:00-07:00
End: 2021-06-12T23:30:00-07:00

March 20, 2020 @ 5:30 am - June 12, 2021 @ 11:30 pm

We understand your household is experiencing some additional tension as we are all maneuvering a new sense of normal and establishing routine. For families with kids with Attachment Disorders and ADHD/Sensory Processing, the sudden shift of routine can cause dysregulation.

By offering a weekly 30-minutes video call, we are offering you a brief moment of respite, as well as additional educational and interactive support. This program is available to families with kids of all ages and young adults who are in need of additional assistance in their studies.

Please select the services you would be interested in receiving on a weekly basis. If you have a high-level need that you do not see as an option below, please fill out “other” and describe the need. We will try our best to see that it is met.

Name*
First Last
Phone*
Email*
Which county do you live in?*
I am interested in:*
- Scheduling a 30 minute weekly video call with a volunteer to assist with homework or tutoring
- Other
Tutoring or Schoolwork Assistance*
Child's Name Grade What subject does this child need assistance with?
Please explain the services you are looking for:*
How can we pray for you?
Authorization to Release Information
I authorize Help One Child to release my name, phone number and email address for the specific purpose of virtually matching a volunteer with my foster, adoptive, guardianship, or birth child(ren). This information will be shared only with those individuals necessary to provide this service. I understand that Help One Child has vetted these volunteers and I will work with the volunteer to set up virtual meeting dates and times on behalf of the child(ren). Neither Help One Child nor any volunteer is liable for any damages to any child or adult as a result of the services provided. These may include video calls to help with homework, tutoring, playing a virtual game, talking, telling stories, or other activities that benefit the child. Volunteers will use a “reasonable and prudent parent” standard in making decisions about how to interact with the child. A “reasonable and prudent standard” means the standard characterized by the careful and sensible parental decisions that maintain the health, safety and best interest of a child.
Signature*
Please sign authorization the release information statement above
Date*
MM slash DD slash YYYY