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Main menu

  • About Us
    • History
    • Staff
    • Board of Trustees
    • Diversity & Inclusion Statement
    • Ethics Policy
    • Contact Us
  • Programs
    • 2-1-1
    • Dolly Parton's Imagination Library
    • SingleCare
    • M.A.P. (Mighty Active Packs) Club
      • Fuel the Future
    • Hunger Coalition
    • VITA - Free Tax Preparation
    • Success By 6 Kindergarten Readiness Program
    • Volunteer
  • Our Work
    • Funded Partners
    • United Way Program Grant Applications
    • Youth Opportunity
    • Financial Security
    • Health Community
    • Community Resiliency
  • Events
    • Dine United
  1. Home
  2. Programs
  3. M.A.P. (Mighty Active Packs) Club
  4. Fuel the Future
  1. Home
  2. Programs
  3. M.A.P. (Mighty Active Packs) Club
  4. Fuel the Future

Mighty Active Pack Club Application

Mighty Active Pack Club Application
By signing below, Volunteer expresses his or her understanding and intent to enter into this Release willingly and voluntarily. This Release shall continue in full force and effect until affirmatively revoked in writing by Volunteer.

I am the parent or guardian of the Volunteer. I understand fully that by signing this document, I am waiving the legal rights of Volunteer and myself both to assert certain claims against Nonprofit and its directors, officers, employees, and agents, successors, and assigns. I fully understand the consequences of this Release. I have read the Release in its entirety, I understand the content and implications of the document, I sign this Release freely and voluntarily, and I agree to be legally bound by the terms and conditions of this Release.

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By signing, you confirm that the child’s parent or guardian has authorized their participation in the Mighty Active Pack program.
 

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Chillicothe, OH 45601

740-773-3280

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