Volunteer Registration

    Volunteer Information


    First Name *
    Last Name *
    Birthdate *
    Please choose a volunteer option below. *
    Email *
    Phone *
    Address *
    City *
    State *
    Zip *

    Medical Information


    Insurance *
    Known Allergies (Please type "NA" if there are not any allergies.) *
    Medical Condition(s) that I should know about if something happens and you need assistance. (Example: you are on blood thinners) *

    Emergency Contact Information

    Please list someone other than yourself that we can contact in case of an emergency.


    First Name *
    Last Name *
    Phone *

    Background & Experience


    What experience do you have with those who have cognitive and or physical challenges? Please describe below, otherwise type "NA".
    Do you have any art experience? If so, please describe below, otherwise type "NA".
    Do you have any soccer experience? If so, please describe below, otherwise type "NA".
    Are you an ABA Therapist that will be working with a specific individual?
    YesNo
    Are you an Interpreter that will be working with a specific individual?
    YesNo

    Waivers & Agreements


    Click here to read the code of conduct
    Click here to read the concussion waiver »
    Click here to read the media waiver »
    Click here to read the release claims statement »
    Please check one of the boxes below.
    Yes, I agree to allow PASS to use my image in photos/videos for promotional use.No, I do not want PASS to use my image in photos/videos for promotional use.


    PLEASE NOTE: Once your registration has been received you will receive a link for completing your background check through Sterling Volunteers. All who are 18 years old or older must complete and pass a background check to volunteer with PASS.

    Please prove you are human by selecting the Car.


    Blessings and thank you for registering to be a coach/instructor or volunteer (aka Buddy), this season!

    If you have any questions please contact Nikki at nikki_pass@outlook.com