Blessing Bags Volunteer Signup Form

Clarksville Loaves and Fishes location – 825 Crossland Avenue

Thank you for your interest in participating in the Blessing Page program. We hope that you will find it to be a great experience, and you will sign up to do it again.

If you have any questions or problems, please feel free to contact Patricia Wilkinson at 931-645-9020, or Diane Miner at 931-249-5273. Alternatively, you may email: blessingbagsforloavesandfishes@gmail.com

After submitting this form, you will receive a copy in your inbox to the email address provide. Please feel free to print this for your records.

Name*
First Last
Group Name or Affiliation*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Requested Sunday date 1*
Date Format: MM slash DD slash YYYY
Requested Sunday date 2*
Date Format: MM slash DD slash YYYY
Requested Sunday date 3*
Date Format: MM slash DD slash YYYY
Comments/Questions
Guidelines for Groups Participating in Blessing Bags
Please review and agree to these guidelines.*
I (we) agree to the guidelines.
1. You will need to bring 50 completed food bags. Fix a lunch like you would for your family.

2. Arrive at kitchen at 10:00 am to set up dining room area and bring in bags. Doors will be opened
at 10:30 to 11:30am. You can expect to leave about 12:00p.m., when clean-up is complete.

3. Check in with the Loaves and Fishes representative on site. (You will be provided with a Blessing Bag Representative's name and contact information.)

4. Your group can choose to do a devotion, with music (you provide) as the people come into the dining room at 10:30. This should last between 10-15 minutes. Or you can just welcome the people in the building to talk with them before giving them the bags.

5. The guests should take their bags as they leave, we are not planning to eat at the kitchen this day. However, in the case of inclement weather, guests may want to sit in the dining room to eat. Each group is responsible for cleanup of the dining room.

6. If they ask for multiple bags for friends or family not there, each group can decide how many you
give to each client.

7. We hope you will want to sign up for another date in the future. If you do please contact us.

8. An adult volunteer should supervise or assist with trash pickup around the front of the building
outside. There are pick up tools and gloves to use.

9. We will provide the bags to use, and if your group needs food for the bags let us know 7-10 days
prior to the date you distribute the bags.

10. We will confirm the date for your group as soon as possible.

12. The volunteer group is responsible to obtain written permission from parent/guardian for
anyone under the age of 18.
Please type your name as electronic signature.*
(First name, middle initial, and last name.)
Volunteer Agreement and Release
The Board of Directors of Loaves & Fishes (the "Board") and you (the "Volunteer") will agree on a specific date, that in exchange for the opportunity to volunteer for Loaves & Fishes, the following terms shall apply.
Please review and agree to this release.*
I (we) agree to the terms.
1. The volunteer assignment is on TBD date, the Volunteer's expected scheduled hours on that date should be approximately from 10:00 am until noon.

2. The Volunteers will perform services under the direction and control of the Loaves & Fishes staff.
The Volunteer will perform the services as written in
the “Guidelines for Groups Participating in Blessing Bags” section above.

The Volunteer agrees to follow the directions of the staff or designated volunteer, and to abide by
Loaves & Fishes policies and procedures while carrying out these volunteer services.

3. The volunteer (group) is not an employee of Loaves and Fishes and understands that no one is
entitled to salary or workers compensation insurance. If there are any injuries the volunteer is
expected to carry personal medical insurance to cover any medical expenses for any injuries, he/she incurs while performing volunteer services.

4. To the extent Volunteer is not a citizen or permanent resident of the United States, Volunteer
certifies that he/she has an appropriate visa status that authorizes the Volunteer to be present in the
United States and allows Volunteer to participate in this volunteer experience.

5. Either party, however, may terminate this agreement at any time, for any reason upon notice, oral or written, to the other party.

6. The parties agree that this is the entire agreement, and no agreement, oral or written, exists
outside of this agreement.
Please download, complete, and bring in the Signature Release Form.
I agree to complete this form (click here to download) and provide it to Loaves & Fishes prior to the assignment date.
Please type your name as electronic signature.*
(First name, middle initial, and last name.)

Clarksville Loaves and Fishes location – 825 Crossland Avenue

Guidelines for Groups Participating in Blessing Bags

Volunteer Agreement and Release