DONATE – Bay Area Service League

Name*
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Address*
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Email*
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Cell Phone*
PHOTO AND NAME RELEASE*
Assistance League of the Bay Area has my permission to include my name as a member of and/or donor to Assistance League in it's printed materials such as chapter newsletters, event invitations or programs, press releases, etc. Assistance League also has my permission to use any photographs of me taken in connection with Assistance League activities in its printed materials.
- Yes
- No
INSURANCE*
I understand that I am required to provide my own health and accident insurance. Assistance League of the Bay Area is not responsible for any medical or legal expenses that may result from any injury or illness that I may sustain while participating in Assistance League activities. I also agree that I shall maintain adequate personal automobile insurance while using my own vehicle for Assistance League of the Bay Area business and shall not hold Assistance League liable for any claims that may result from accidents occurring while I am using my own vehicle for Assistance League business.
CONFLICT OF INTEREST POLICY*
I have read and agree to abide by the conflict of interest policy of Assistance League of the Bay Area as presented on the chapter website.
Conflict of interest*
- I have no conflict(s) of interest to report
- I have the following conflict(s) of interest to report (provide information in the section below)
Report of conflict (or potential conflict) of interest:
WHISTLEBLOWER PROTECTION POLICY*
I have read and agree to abide by the whistleblower protection policy of Assistance League of the Bay Area as presented on the chapter website.
SOCIAL MEDIA & COMMUNICATIONS POLICY*
I have read and agree to abide by the social media and communications policy of Assistance League of the Bay Area as presented on the chapter website.
PROTECTED PERSONS POLICY*
I have read and agree to abide by the Protected Persons Behavioral and Reporting Policy of Assistance League of the Bay Area as presented on the chapter website.
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